KENNETH D DERNOVSEK (MD) – Endocrinology, Diabetes & Metabolism Physician, NPI 1952373722

Endocrinology, Diabetes & Metabolism Physician

KENNETH D DERNOVSEK (MD) is a healthcare provider. based in Pueblo, Colorado. specializing in Endocrinology, Diabetes & Metabolism Physician. They hold the professional credentials MD. They hold a License No. 26083 (CO). The NPI Number for KENNETH D DERNOVSEK (MD) is 1952373722

Main info

Male

49 Years Of Experience

Accepts Medicare Assignment

Name

KENNETH D DERNOVSEK (MD)

NPI

1952373722

Phone

(719) 564-4500

Address

1925 E ORMAN AVE

Enumeration Date

6 February 2006

Last Update Date

11 January 2016

Doctor Profile

Medical School Name

UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE

Secondary Phone

7195644500

Graduation Year

1977 (49 years ago)

PAC ID

6709849326

Group Practice PAC ID

1456327717

Professional Enrollment ID

I20041104001124

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 KENNETH D 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.

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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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Provider's Procedures

KENNETH D DERNOVSEK (MD) performs procedures in Endocrinology, Diabetes & Metabolism Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
ENDOCRINOLOGY	CO	76942	Ultrasonic guidance imaging supervision and interpretation for insertion of needle	15	15

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
KIM K DERNOVSEK (MD)	-	CO

Reviews

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Frequently asked questions

What identifier follows KENNETH D DERNOVSEK (MD) across health systems?

The NPI 1952373722 uniquely identifies KENNETH D DERNOVSEK (MD) in U.S. healthcare data.

Quick check: is KENNETH D DERNOVSEK (MD) active?

Public NPPES data shows KENNETH D DERNOVSEK (MD) with an active NPI status right now.

What type of care does KENNETH D DERNOVSEK (MD) provide?

KENNETH D DERNOVSEK (MD)'s profile centers on Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.

What geographic area is tied to KENNETH D DERNOVSEK (MD)?

KENNETH D DERNOVSEK (MD) is associated with Pueblo, Colorado in the same public data insurers reference.

Who maintains KENNETH D DERNOVSEK (MD)'s record?

Providers certify NPPES data; CMS hosts the public file you are viewing.