KENNETH D. DERNOVSEK MD – NPI #1952373722
Internal Medicine

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

KENNETH DERNOVSEK is a physician located in PUEBLO, CO. NPPES has assigned the NPI number 1952373722 to KENNETH DERNOVSEK on February 06, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RE0101X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism

The NPI profile was previously updated about 10 years ago on Jan 11, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KENNETH DERNOVSEK below.

NPI Profile for
KENNETH D. DERNOVSEK

NPI Number
1952373722
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KENNETH D. DERNOVSEK
Credentials
MD
Primary location
1925 E ORMAN AVE
STE 115
PUEBLO, CO 81004-3537
Phone: (719) 564-4500 Fax: (719) 564-0304
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for KENNETH DERNOVSEK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRAILROAD MEDICARECO460003468
OTHERRAILROAD MEDICARECO1952373722
MEDICAIDCO01260835
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RE0101X
- Internal Medicine / Endocrinology, Diabetes & Metabolism (Primary)
CO 26083

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.