Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kaisa M. Vanderkooi, MD

Individual provider Procedural Dermatology Physician · NPI 1427269885

Dr. Kaisa M. Vanderkooi, MD is a Dermatology in Tallahassee, Florida. Graduated from Wayne State University School of Medicine in 2005, 21 years ago. Practices with Southeastern Dermatology Group PA, a 44-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Florida and Michigan.

Years since qualifying
21
Trained at
Wayne State University School of Medicine
Licensed in
FL, MI
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1474 Market St
Tallahassee, FL 32312-1768
Phone: (850) 233-3376
Fax: (850) 522-8354
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3 Racetrack Rd Ne, Fort Walton Beach, FL 32547-1875 — (850) 233-3376
  • 1707 Riggins Rd, Tallahassee, FL 32308-5317 — (850) 877-4134
  • 2181 Orange Ave E, Tallahassee, FL 32311-6144 — (734) 306-2299

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence ME109089 (FL)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 4301086274 (MI)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 4301086274 (MI)

Record details

NPI number1427269885
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 25, 2007
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Southeastern Dermatology Group Pa — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount