Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KAITLIN DEWILDE
NPI 1720664139
Emergency Medicine in San Francisco, CA

Active since March 24, 2021PECOS Enrolled
505 PARNASSUS AVE RM M24, SAN FRANCISCO, CA 94143(415) 353-1529 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 20, 2026, Mar 24, 2021 (2 updates tracked since 2021).

About Kaitlin Dewilde NPPES

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

KAITLIN DEWILDE (NPI 1720664139) is an individual emergency medicine provider in San Francisco, California, licensed in California (A194840) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2021).

NPPES Registry Identity

NPI1720664139
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameKAITLIN DEWILDE
Location Address505 PARNASSUS AVE RM M24San Francisco, CA 94143-2204
Mailing Address505 Parnassus Ave Rm M24San Francisco, CA 94143-2204 · (415) 353-1529
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2021
Enumeration DateMarch 24, 2021
Last NPPES UpdateAugust 20, 20262 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
NPI 1720664139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in CA · A194840
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
505 PARNASSUS AVE RM M24, San Francisco, CA 94143

Secondary Practice Location 1

Location 11001 Potrero Ave, Bldg. 25, 1st FloorSan Francisco, CA 94110-3518 · Phone (628) 206-8111 · Fax (628) 206-9038

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

Kaitlin Dewilde 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 ID6002261427
PECOS Enrollment IDI20250520000588
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 94143 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
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 20

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

Student in an Organized Health Care Education/Training Program
505 PARNASSUS AVE RM M24
SAN FRANCISCO, CA 94143
Emergency Medicine
505 PARNASSUS AVE RM M24
SAN FRANCISCO, CA 94143
Emergency Medicine
505 PARNASSUS AVE RM M24
SAN FRANCISCO, CA 94143
Emergency Medicine
505 PARNASSUS AVE RM M24
SAN FRANCISCO, CA 94143
Student in an Organized Health Care Education/Training Program
505 PARNASSUS AVE RM M24
SAN FRANCISCO, CA 94143
Student in an Organized Health Care Education/Training Program
505 PARNASSUS AVE RM M24
SAN FRANCISCO, CA 94143
Student in an Organized Health Care Education/Training Program
505 PARNASSUS AVE RM M24
SAN FRANCISCO, CA 94143
Emergency Medicine
505 PARNASSUS AVE RM M24
SAN FRANCISCO, CA 94143

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 Dewilde's NPI number?

The NPI number for Kaitlin Dewilde is 1720664139. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Kaitlin Dewilde located?

Kaitlin Dewilde practices at 505 Parnassus Ave Rm M24, San Francisco, CA 94143. The listed phone number is (415) 353-1529.

What is Kaitlin Dewilde's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kaitlin Dewilde enrolled in Medicare?

Yes. Kaitlin Dewilde 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.

When was this NPI record last updated?

The NPPES record for Kaitlin Dewilde was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.