| Divakara Kedlaya, MD | |
|
9250 E Costilla Ave Ste 540, Greenwood Village, CO 80112-3648 | |
| (206) 449-3557 | |
| Not Available |
| Full Name | Divakara Kedlaya |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 33 Years |
| Location | 9250 E Costilla Ave Ste 540, Greenwood Village, Colorado |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134104037 | NPI | - | NPPES |
| 42809223 | Medicaid | CO |
| Facility Name | Location | Facility Type |
|---|---|---|
| Salem Hospital | Salem, OR | Hospital |
| St. Francis Hospital - Rehab | Colorado springs, CO | Inpatient rehabilitation facility |
| Providence Santa Rosa Memorial Hospital | Santa rosa, CA | Inpatient rehabilitation facility |
| Salem Hospital | Salem, OR | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Medical Foundation | 8921993205 | 1461 |
| Salem Health | 8628986668 | 470 |
| Lake County Tribal Health Consortium Inc | 8729975545 | 42 |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871607762 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Mailing Address | Practice Location Address |
|---|---|
| Divakara Kedlaya, MD 9250 E Costilla Ave Ste 540, Greenwood Village, CO 80112-3648 Ph: (206) 449-3557 | Divakara Kedlaya, MD 9250 E Costilla Ave Ste 540, Greenwood Village, CO 80112-3648 Ph: (206) 449-3557 |
Drew M Trainor, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 7730 E Belleveiw Ave, Suite A-104, Greenwood Village, CO 80111 Phone: 303-327-5511 Fax: 303-327-5512 |
Joshua Cabucio, DPT, ATC, LAT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 6450 S Boston St, Greenwood Village, CO 80111 Phone: 303-224-9455 |
Christopher Whitmore, ATC, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 5801 S Quebec St Ste 100, Greenwood Village, CO 80111 Phone: 303-770-0870 |
Francis Xavier Palermo, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 9250 E Costilla Ave Ste 540, Greenwood Village, CO 80112 Phone: 720-644-9355 |
Jill Denise Rawson, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 8301 E Prentice Ave, Greenwood Village, CO 80111 Phone: 303-322-8300 |
Lucas Won, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 9250 E Costilla Ave Ste 201, Greenwood Village, CO 80112 Phone: 720-572-4873 Fax: 720-572-4821 |
Kaitlyn Louise Brunworth, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 5600 S Quebec St Ste 312a, Greenwood Village, CO 80111 Phone: 303-436-2727 |