Individual provider Active NPI

Darya Blednova, MD

  • Internal Medicine Physician
  • Pueblo, CO
National Provider Identifier
1023451010
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD214121 Issued in OR
Practice address
400 W 16TH St
Pueblo, CO 81003-2745
Phone
(970) 624-2403
Fax
(970) 490-4173
NPI assigned
Apr 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 285150 NY
Internal Medicine Physician 207R00000X MD214121 OR Primary

Addresses

Primary practice location

400 W 16TH St
Pueblo, CO 81003-2745

Mailing address

2695 Rocky Mountain Ave
Loveland, CO 80538-8702
Phone (970) 624-2403

Other practice location 1

21008 Northern Blvd Ste 1A
Bayside, NY 11361-3211
Phone (718) 806-1434

Other practice location 2

10151 SE Sunnyside Rd Ste 100
Clackamas, OR 97015-5705
Phone (503) 659-0880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NE, CO3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160901001899 NY Practitioner - Internal Medicine 5092001941 Reassigns benefits to 1 organization
I20240930000980 NE Practitioner - Internal Medicine 5092001941 Reassigns benefits to 3 organizations
I20250716003785 CO Practitioner - Hospitalist 5092001941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHI Health Clinic Specialty LLCGroup PAC ID 4789098443, 317 clinicians
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

10 E 31St St
CHI Health Good Samaritan
Kearney, NE 68847-2908
Phone (308) 865-7100

400 W 16TH St
Pueblo, CO 81003-2745
Phone (719) 584-4921

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

Hospital & facility affiliations

  • Parkview Medical Center, Inc Hospital, Pueblo, CO, CCN 060020
  • CHI Health Good Samaritan Hospital, Kearney, NE, CCN 280009
  • Prowers Medical Center Hospital, Lamar, CO, CCN 061323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
285150NYMDInternal Medicine Physician
MD214121ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Select Specialty Hospital Omaha Inc CurrentSince Jul 22, 2024 Accepting new patients
North Shore Medical PLLC Internal Medicine CurrentSince Sep 1, 2018 Accepting new patients
Poudre Valley Medical Group, LLC Current Accepting new patients
CHI Health Clinic Specialty, LLC CurrentSince Jan 20, 2026 Accepting new patients
New York City Health and Hospitals Corporation Internal Medicine Current Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Aug 1, 2025 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Mar 1, 2020 Accepting new patients
New York City Health and Hospitals Corporation Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Novahal Health PastSince Aug 1, 2025 Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000

10 E 31st St
Kearney, NE 68847
Phone (308) 234-5520

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

1870 S 75th St
Omaha, NE 68124
Phone (402) 361-5700

21008 Northern Blvd
Ste 1A
Bayside, NY 11361

594 Albany Ave
Brooklyn, NY 11203
Phone (646) 694-6680

50 Water St
Fl 3
New York, NY 10004

27005 76th Ave
North New Hyde Pk, NY 11040

300 Community Dr
Plandome, NY 11030

9308 Queens Blvd
#1B
Rego Park, NY 11374

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1023451010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388702",
            "telephone_number": "970-624-2403",
            "fax_number": "970-490-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 16TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032745",
            "telephone_number": "970-624-2403",
            "fax_number": "970-490-4173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21008 Northern Blvd Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Bayside",
            "state": "NY",
            "postal_code": "113613211",
            "country_code": "US",
            "telephone_number": "718-806-1434",
            "fax_number": "718-806-1435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10151 SE Sunnyside Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Clackamas",
            "state": "OR",
            "postal_code": "970155705",
            "country_code": "US",
            "telephone_number": "503-659-0880",
            "fax_number": "503-513-7425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLEDNOVA",
        "first_name": "DARYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-10",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "285150",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD214121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.