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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. RAVINDRAKUMAR GANGADHARIAH M.D.
NPI 1922047869
Dermatology in Pueblo, CO

Active since June 06, 2006
635 W CORONA AVE STE 105, PUEBLO, CO 81004(719) 824-1591(719) 312-5549 Get Directions Write a Review

NPPES record last updated: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 26, 2026, Apr 4, 2019 (2 updates tracked since 2019).

About Dr. Ravindrakumar Gangadhariah M.d. NPPES

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

DR. RAVINDRAKUMAR GANGADHARIAH M.D. (NPI 1922047869) is an individual dermatology provider in Pueblo, Colorado, licensed in Iowa (36638) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1922047869
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. RAVINDRAKUMAR GANGADHARIAHCredential: M.D.
Location Address635 W CORONA AVE STE 105Pueblo, CO 81004-1209
Mailing Address635 W Corona Ave Ste 105Pueblo, CO 81004-1209 · (719) 824-1591 · Fax (719) 312-5549
Phone(719) 824-1591
Fax(719) 312-5549
Sole ProprietorYes
Enumeration DateJune 6, 2006
Last NPPES UpdateOctober 26, 20262 updates tracked since enumeration
NPPES CertifiedOctober 26, 2026
✔ NPI 1922047869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses✔ Licensed in IA · 36638✔ Licensed in IL · 036-115671
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036115671 (IL)
635 W CORONA AVE STE 105, Pueblo, CO 81004
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Other Names 1

Professional Name (2)Dr. Ravi Kumar M.d.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%23 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%51 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAB DERMATOLOGY LLC
Dermatology
635 W CORONA AVE STE 105
PUEBLO, CO 81004
Pueblo County (719) 824-1591

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 Ravindrakumar Gangadhariah's NPI number?

The NPI number for Ravindrakumar Gangadhariah is 1922047869. It was assigned to this individual provider in the NPPES registry on June 6, 2006. The provider is also known as Dr. Ravi Kumar M.D..

Where is Ravindrakumar Gangadhariah located?

Ravindrakumar Gangadhariah practices at 635 W Corona Ave Ste 105, Pueblo, CO 81004. The listed phone number is (719) 824-1591.

What is Ravindrakumar Gangadhariah's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Ravindrakumar Gangadhariah was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.