DR. KENN VATTATHARA MD
NPI 1114500592
Psychiatry & Neurology - Psychiatry in Munster, IN

Q: What is Kenn Vattathara's NPI number?

The NPI number for Kenn Vattathara is 1114500592. It was assigned to this individual provider in the NPPES registry on May 3, 2021.

Q: What is Kenn Vattathara's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Kenn Vattathara was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 03, 2021PECOS EnrolledAccepts Medicare Assignment

720 45TH ST, MUNSTER, IN 46321(219) 852-2513(219) 852-2443 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2025, May 3, 2021 (2 updates tracked since 2021).

On this page

About Dr. Kenn Vattathara Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENN VATTATHARA MD (NPI 1114500592) is an individual psychiatry provider in Munster, Indiana, licensed in Indiana (01095510A) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (2021).

NPPES Registry Identity

NPI1114500592

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. KENN VATTATHARACredential: MD

Location Address720 45TH STMunster, IN 46321-2818

Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479

Phone(219) 852-2513

Fax(219) 852-2443

Sole ProprietorNo

Medical School CMSSaint Louis University School Of MedicineGraduated 2021

Enumeration DateMay 3, 2021

Last NPPES UpdateJuly 24, 20252 updates tracked since enumeration

NPPES CertifiedJuly 24, 2025

✔ NPI 1114500592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in IN · 01095510A✔ Licensed in IL · 036172806

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

720 45TH ST, Munster, IN 46321

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kenn Vattathara Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496262859

PECOS Enrollment IDI20250730000486

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46321 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$161.76 typical visit price

range $53.07 – $161.76

Typical copayment $40.44 (range $13.26 – $40.44)

Most-billed visit code 99205

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY LOUISE KEON

Counselor (Mental Health)

720 45TH ST
MUNSTER, IN 46321

Lake County (219) 852-2513

KULDEEP SINGH M.D.

Psychiatry & Neurology (Psychiatry)

720 45TH ST
MUNSTER, IN 46321

Lake County (219) 852-2513

MRS. SUSAN VICTORIA ALAMILLO LMHC

Counselor (Mental Health)

720 45TH ST
MUNSTER, IN 46321

Lake County (219) 852-2513

MS. ROBIN LOUISE LIDSTON LMHC

Counselor (Mental Health)

720 45TH ST
MUNSTER, IN 46321

Lake County (121) 985-2251

SELENA GONZALEZ NCC, LPC

Counselor (Mental Health)

720 45TH ST
MUNSTER, IN 46321

Lake County (219) 852-2515

MR. FIDEL RICARDO MARTINEZ LCSW, CEAP

Social Worker (Clinical)

720 45TH ST
MUNSTER, IN 46321

Lake County (219) 852-2513

NISHA KADRI RAO M.D

Psychiatry & Neurology (Child & Adolescent Psychiatry)

720 45TH ST
MUNSTER, IN 46321

Lake County (219) 852-2513

DEMETRIS YVETTE COLE MSW, LCSW

Social Worker (Clinical)

720 45TH ST
MUNSTER, IN 46321

Lake County (219) 852-2513

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenn Vattathara's NPI number?

The NPI number for Kenn Vattathara is 1114500592. It was assigned to this individual provider in the NPPES registry on May 3, 2021.

Where is Kenn Vattathara located?

Kenn Vattathara practices at 720 45th St, Munster, IN 46321. The listed phone number is (219) 852-2513.

What is Kenn Vattathara's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Kenn Vattathara enrolled in Medicare?

Yes. Kenn Vattathara is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kenn Vattathara accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Kenn Vattathara as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenn Vattathara was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.