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INDIRA KEDLAYA MD
NPI 1891771382
Internal Medicine in Pueblo, CO

Active since December 16, 2005PECOS Enrolled
1600 N GRAND AVE STE 120, PUEBLO, CO 81003(719) 545-9292(719) 545-9191 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Indira Kedlaya Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDIRA KEDLAYA MD (NPI 1891771382) is an individual internal medicine provider in Pueblo, Colorado, licensed in Colorado (44387) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891771382
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameINDIRA KEDLAYACredential: MD
Location Address1600 N GRAND AVE STE 120Pueblo, CO 81003-2755
Mailing Address1600 N Grand Ave Ste 120Pueblo, CO 81003-2755 · (719) 545-9292 · Fax (719) 545-9191
Phone(719) 545-9292
Fax(719) 545-9191
Sole ProprietorYes
Enumeration DateDecember 16, 2005
Last NPPES UpdateFebruary 11, 2008
✔ NPI 1891771382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CO · 44387✔ Licensed in CA · A067008
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1600 N GRAND AVE STE 120, Pueblo, CO 81003
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Other Identifiers 2

Medicaid33471231CO
Medicare PINC808621CO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Indira Kedlaya Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Indira Kedlaya reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Osf Multi-Specialty Group
816 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1922445527 (309) 683-5050
Advocate Health And Hospitals Corp.
836 mi
Medicare Defined Swing Bed Unit
101 S MAJOR ST
Eureka, IL 61530
  • Reassigned Medicare billing, Illinois enrollment
  • 4,870 clinicians in this Medicare group
NPI 1295066983 (309) 467-2371
Permanente Medical Group Inc
908 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Indira Kedlaya's NPI number?

The NPI number for Indira Kedlaya is 1891771382. It was assigned to this individual provider in the NPPES registry on December 16, 2005.

Where is Indira Kedlaya located?

Indira Kedlaya practices at 1600 N Grand Ave Ste 120, Pueblo, CO 81003. The listed phone number is (719) 545-9292.

What is Indira Kedlaya's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Indira Kedlaya enrolled in Medicare?

Yes. Indira Kedlaya is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Indira Kedlaya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Indira Kedlaya reassigns Medicare benefits to 3 organizations: Osf Multi-Specialty Group (Peoria, IL), Advocate Health And Hospitals Corp. (Eureka, IL) and Permanente Medical Group Inc (Stockton, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Indira Kedlaya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Indira Kedlaya was last updated on February 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.