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

Dr. Kenn Vattathara, MD

Individual provider Psychiatry Physician · NPI 1114500592

Dr. Kenn Vattathara, MD is a Psychiatry in Munster, Indiana. Graduated from Saint Louis University School of Medicine in 2021, 5 years ago. Practices with Franciscan Physician Network, a 1,171-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Indiana.

Years since qualifying
5
Trained at
Saint Louis University School of Medicine
Licensed in
IL, IN
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

720 45th St
Munster, IN 46321-2818
Phone: (219) 852-2513
Fax: (219) 852-2443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 01095510A (IN)
Psychiatry Physician Taxonomy 2084P0800X · Licence 036172806 (IL)

Record details

NPI number1114500592
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2021
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025
Mailing addressPo Box 781076, Detroit, MI 48278-1076

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Franciscan Physician Network — 1171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Munster