Indira Kedlaya, MD in Pueblo, CO - Medicare Internal Medicine

Indira Kedlaya, MD is a medicare enrolled "Internal Medicine" physician in Pueblo, Colorado. Her current practice location is 1600 N Grand Ave Ste 120, Pueblo, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 545-9292.

Indira Kedlaya is licensed to practice in Colorado (license number 44387) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1891771382.

Contact Information

	Indira Kedlaya, MD
	1600 N Grand Ave Ste 120, Pueblo, CO 81003-2755
	(719) 545-9292
	(719) 545-9191

Map and Direction

Physician's Profile

Full Name	Indira Kedlaya
Gender	Female
Speciality	Internal Medicine
Location	1600 N Grand Ave Ste 120, Pueblo, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891771382
Provider Enumeration Date: 12/16/2005
Last Update Date: 02/11/2008

Medicare PECOS Information:

PECOS PAC ID: 8729086418
Enrollment ID: I20191212002413

Medical Identifiers

Medical identifiers for Indira Kedlaya such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891771382	NPI	-	NPPES
33471231	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A067008 (California)	Secondary
207R00000X	Internal Medicine	44387 (Colorado)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Indira Kedlaya allows following entities to bill medicare on her behalf.

Entity Name	Advocate Health And Hospitals Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Indira Kedlaya is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Indira Kedlaya, MD 1600 N Grand Ave Ste 120, Pueblo, CO 81003-2755 Ph: (719) 545-9292	Indira Kedlaya, MD 1600 N Grand Ave Ste 120, Pueblo, CO 81003-2755 Ph: (719) 545-9292

Reviews and Comments

Internal Medicine Doctors in Pueblo, CO

Dr. Christopher John Calcagno, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 N. Grand Ave., Ste. 300, Pueblo, CO 81003 Phone: 719-562-2001 Fax: 719-562-2742
Christopher Jon Stark, Internal Medicine Medicare: Medicare Enrolled Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-595-2218 Fax: 719-595-7994
Greg Alan Bowman, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 N Grand Ave, Suite 500, Pueblo, CO 81003 Phone: 719-545-0663 Fax: 719-595-7903
Peter Lochow, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3670 Parker Blvd Ste 101, Pueblo, CO 81008 Phone: 719-564-1544 Fax: 719-924-1593
Dr. Raj Vashistha, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3670 Parker Blvd., Ste 101, Pueblo, CO 81008 Phone: 719-564-1544 Fax: 719-924-1592
Dr. Bryant Pinto Javier, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-544-1488 Fax: 719-595-7994
Thomas Christian Stjernholm, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3670 Parker Blvd Ste 101, Pueblo, CO 81008 Phone: 719-564-1544 Fax: 719-924-1593

Indira Kedlaya, MD - Medicare Internal Medicine in Pueblo, CO