Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Divakara Kedlaya, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1134104037

Divakara Kedlaya, MD is a Physical Medicine and Rehabilitation in Greenwood Village, Colorado. Qualified in 1993, 33 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group and works from 2 locations. Licensed in California, Colorado and Illinois.

Years since qualifying
33
Licensed in
CA, CO, IL
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9250 E Costilla Ave Ste 540
Greenwood Village, CO 80112-3648
Phone: (206) 449-3557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1925 E Orman Ave, Pueblo, CO 81004-3537 — (719) 557-3666

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 44383 (CO)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence A055622 (CA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 036147433 (IL)

Record details

NPI number1134104037
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 13, 2005
Last updated in NPPESOctober 2, 2024
Certification dateOctober 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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