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

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: October 25, 2026.

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

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Kenn Vattathara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Franciscan Physician Network
69 mi
Urgent Care
1515 W DRAGOON TRL
Mishawaka, IN 46544
  • Reassigned Medicare billing, Indiana enrollment
  • 1,396 clinicians in this Medicare group
NPI 1366879009 (574) 254-6253

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 8

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
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
KIRTI RAMNIVAS MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
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.

Which organization bills Medicare for Kenn Vattathara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenn Vattathara reassigns Medicare benefits to Franciscan Physician Network (Mishawaka, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenn Vattathara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenn Vattathara accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer 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 15 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.