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

Kaitlynn Tracy

Individual provider Emergency Medicine Physician · NPI 1629632013

Kaitlynn Tracy is an Emergency Medicine in Richmond Hill, New York. Graduated from Rush Medical College of Rush University in 2021, 5 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
5
Trained at
Rush Medical College of Rush University
Licensed in
NY
In the registry since
2019
Specialties on file
2

Practice location Address checks out

8900 Van Wyck Expy
Richmond Hill, NY 11418-2832
Phone: (718) 206-6000
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 335793 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1629632013
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 1, 2019
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025
Mailing address600 S Paulina St Ste 403, Chicago, IL 60612-3806

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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