DR. KAITLIN JESSICA KAVANAGH MD
NPI 1669091831
Surgery - Plastic and Reconstructive Surgery in Chicago, IL
About Dr. Kaitlin Jessica Kavanagh Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KAITLIN JESSICA KAVANAGH MD (NPI 1669091831) is an individual plastic and reconstructive surgery provider in Chicago, Illinois, licensed in Illinois (036.179567) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kaitlin Jessica Kavanagh Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60637
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 Kaitlin Kavanagh's NPI number?
The NPI number for Kaitlin Kavanagh is 1669091831. It was assigned to this individual provider in the NPPES registry on April 8, 2020.
Where is Kaitlin Kavanagh located?
Kaitlin Kavanagh practices at 5841 S Maryland Ave, Chicago, IL 60637. The listed phone number is (773) 702-6302.
What is Kaitlin Kavanagh's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Kaitlin Kavanagh enrolled in Medicare?
Yes. Kaitlin Kavanagh is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kaitlin Kavanagh was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.
# Dr. Kaitlin Jessica Kavanagh, MD · NPI 1669091831
Plastic and Reconstructive Surgery physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since April 8, 2020.
## Identity
- **NPI:** 1669091831 (Entity type: Individual)
- **Enumerated:** April 8, 2020
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **State license:** 036.179567 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5841 S MARYLAND AVE, Chicago, IL 60637-1443
- **Phone:** (773) 702-6302
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1669091831) · Data from the CMS NPPES public registry.