INDIRA KEDLAYA (MD) – Internal Medicine Physician, NPI 1891771382

INDIRA KEDLAYA (MD) is a healthcare provider. based in Pueblo, Colorado. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. A067008 (CA). The NPI Number for INDIRA KEDLAYA (MD) is 1891771382

Main info

Female
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
INDIRA KEDLAYA (MD)
NPI
1891771382
Phone
(719) 545-9292
Address
1600 N GRAND AVE STE 120
Enumeration Date
16 December 2005
Last Update Date
11 February 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4158997525
Graduation Year
1995 (31 years ago)
PAC ID
8729086418
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20231122001563
Address ID
CA949451100NO97XXXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,994 INTERNAL MEDICINE in CO

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Provider Addresses for INDIRA KEDLAYA (MD)

  • North Grand Avenue, Pueblo, Pueblo County, Colorado, 81008, United States

    PUEBLO, CO 810032755

    Phone: (719) 545-9292

    Fax: (719) 545-9191

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-11-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20191212002413IInternal MedicineILTBD
I20231122001563IInternal MedicineCATBD

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.

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

Insurance plans in this area (ZIP 81003)

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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: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

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Frequently asked questions

Where can patients find INDIRA KEDLAYA (MD)'s NPI?
You can confirm INDIRA KEDLAYA (MD) with NPI 1891771382; it appears in the national provider directory.
Is INDIRA KEDLAYA (MD) active in the national directory?
INDIRA KEDLAYA (MD)'s public NPI profile is in an active state.
Can you summarize INDIRA KEDLAYA (MD)'s specialty in plain language?
Clinically, the directory lists INDIRA KEDLAYA (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place INDIRA KEDLAYA (MD)?
The snapshot lists Pueblo, Colorado for INDIRA KEDLAYA (MD); download NPPES for the complete set.
Is INDIRA KEDLAYA (MD) a real provider?
This page reflects official NPPES data for NPI 1891771382. Always confirm identity and privileges with the practice and licensing boards.

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