Kaitlyn M Kollmann, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

036.157717 Issued in IL

Practice address

737 N Michigan Ave Ste 720
Chicago, IL 60611-6661

Phone

(312) 319-1978

Fax

(312) 262-7791

NPI assigned

Apr 14, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Southern Illinois University School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jordan C Carqueville MD LLCGroup PAC ID 6709116361, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.57 of 100Reported as group

Quality

95.13

Promoting interoperability

100

Improvement activities

40

Cost

76.77

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jordan C. Carqueville, MD LLC

  • Dermatology Physician
  • Chicago, IL
  • NPI 1710531330
  Medicare reassignment Care Compare group NPD
• Pinnacle Dermatology, SC

  • Dermatology Physician
  • Joliet, IL
  • NPI 1861930984
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736553600000",
    "number": "1790219814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 N YORK RD STE 100",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213515",
            "telephone_number": "312-319-1978",
            "fax_number": "312-262-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 N MICHIGAN AVE STE 720",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606116661",
            "telephone_number": "312-319-1978",
            "fax_number": "312-262-7791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1945 W Wilson Ave Ste 6119",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606405259",
            "country_code": "US",
            "telephone_number": "312-319-1978",
            "fax_number": "312-262-7791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4905 Old Orchard Ctr Lowr Level",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600771458",
            "country_code": "US",
            "telephone_number": "312-319-1978",
            "fax_number": "312-262-7791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLLMANN",
        "first_name": "KAITLYN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-14",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036.157717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Koller, RD, LDN
• Steven Koller
• Hiren Kolli, MD
• Deanna E Kollias, PTA
• Patrick Kollman, MD
• Kirk Kollmann, D.M.D.
• Tyler Jon Kollmann, M.S., ATC, CSCS
• Harini Kolluri, MD
• Elizabeth Kolodiej, M.S., CCC-SLP
• Leon Thomas Kolodziej, D.C.

• Dermatology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.