KIM K DERNOVSEK (MD) – Dermatology Physician, NPI 1497728786

Dermatology Physician

KIM K DERNOVSEK (MD) is a healthcare provider. based in Pueblo, Colorado. specializing in Dermatology Physician. They hold the professional credentials MD. They hold a License No. 26084 (CO). The NPI Number for KIM K DERNOVSEK (MD) is 1497728786

Main info

Female

49 Years Of Experience

Accepts Medicare Assignment

Name

KIM K DERNOVSEK (MD)

NPI

1497728786

Phone

(719) 564-4500

Address

1925 E ORMAN AVE

Enumeration Date

8 February 2006

Last Update Date

11 January 2016

Doctor Profile

Medical School Name

UNIVERSITY OF MINNESOTA MEDICAL SCHOOL

Secondary Phone

7195644500

Graduation Year

1977 (49 years ago)

PAC ID

5799748240

Group Practice PAC ID

1456327717

Professional Enrollment ID

I20041105000858

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for KIM K DERNOVSEK (MD)

1925, East Orman Avenue, Pueblo, Pueblo County, Colorado, 81004, United States
STE 115
PUEBLO, CO 810043537
Phone: (719) 564-4500
Fax: (719) 564-0304
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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

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: 1456327717View full group profile

Name	Specialty	State
KENNETH D DERNOVSEK (MD)	-	CO

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Frequently asked questions

Does KIM K DERNOVSEK (MD) have a public NPI I can cite?

Public records show KIM K DERNOVSEK (MD) under NPI 1497728786.

Does the public listing show KIM K DERNOVSEK (MD) as active?

KIM K DERNOVSEK (MD)'s NPI record reflects an active status in NPPES.

What does the directory say KIM K DERNOVSEK (MD) does?

Insurance directories may phrase it differently, but here KIM K DERNOVSEK (MD) maps to Dermatology Physician. Clinical services aligned with this taxonomy classification.

Which community is linked to KIM K DERNOVSEK (MD)?

KIM K DERNOVSEK (MD) shows a connection to Pueblo, Colorado in registry-derived data.

Can I verify credentials using only NPI?

NPI confirms identity in the directory; licensure and board certification require separate checks.