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

Vincent Gianni Vacketta, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1245721612

Vincent Gianni Vacketta, DPM is a Podiatry in Peoria, Illinois. Qualified in 2019, 7 years ago. Practices with Midwest Orthopaedic Center S C, a 46-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2018
Specialties on file
4
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

6000 N Allen Rd
Peoria, IL 61614-3294
Phone: (309) 691-1400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 016006029 (IL)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 016006029 (IL)
Orthopaedic Foot and Ankle Surgery Physician Taxonomy 207XX0004X · Licence 016006029 (IL)
Podiatrist Taxonomy 213E00000X · Licence 016006029 (IL)

Record details

NPI number1245721612
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMay 22, 2018
Last updated in NPPESDecember 26, 2024
Certification dateDecember 26, 2024
Mailing address6000 N Allen Rd, Peoria, IL 61614-3294

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Midwest Orthopaedic Center S C — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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