DEEPA NAGARAJA (MD) – Nephrology Physician, NPI 1396009734

DEEPA NAGARAJA (MD) is a healthcare provider. based in Pueblo, Colorado. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. DR.0059953 (CO). The NPI Number for DEEPA NAGARAJA (MD) is 1396009734

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DEEPA NAGARAJA (MD)
NPI
1396009734
Phone
(719) 561-5264
Address
3426 LAKE AVE STE 120
Enumeration Date
29 June 2012
Last Update Date
3 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7195615264
Graduation Year
2009 (17 years ago)
PAC ID
1456667039
Group Practice PAC ID
5395636161
Professional Enrollment ID
I20180611000787
Address ID
CO810043878PU3426XAVEX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

185 NEPHROLOGY in CO

Provider Addresses for DEEPA NAGARAJA (MD)

  • 3426 LAKE AVE STE 120

    PUEBLO, CO 810043878

    Phone: (719) 561-5264

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $502.

Total Amount is formed as General ($502) + Research ($0) + Ownership ($0) = $502.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Travere Therapeutics, Inc. ($93).

Total Amount

$502

General + Research + Ownership

Payments

25

Total payment records

General Amount

$502

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-06-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180611000787INephrologyCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90960Dialysis services, 4 or more physician visits per month (20 years or older)19230$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month14638$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes13058$0
99458Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes10031$0
99214Established patient office or other outpatient visit, 30-39 minutes9661$0
View full utilization report →

Insurance plans in this area (ZIP 81004)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395636161View full group profile
NameSpecialtyState
Nurse PractitionerCO
Nephrology, Internal MedicineCO
Nephrology, Internal MedicineCO
Nephrology, Internal MedicineCO
Nurse PractitionerCO
-CO
N E P H R O L O G YCO

Reviews

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Frequently asked questions

What unique ID ties claims to DEEPA NAGARAJA (MD)?
NPI 1396009734 is assigned to DEEPA NAGARAJA (MD) under the national enumeration system.
Is DEEPA NAGARAJA (MD) active in the national directory?
DEEPA NAGARAJA (MD)'s public NPI profile is in an active state.
What kind of provider is DEEPA NAGARAJA (MD)?
The page reflects Nephrology Physician for DEEPA NAGARAJA (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DEEPA NAGARAJA (MD)?
The snapshot lists Pueblo, Colorado for DEEPA NAGARAJA (MD); download NPPES for the complete set.
Is DEEPA NAGARAJA (MD) a real provider?
This page reflects official NPPES data for NPI 1396009734. Always confirm identity and privileges with the practice and licensing boards.

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