Individual provider Active NPI

Jigisha Hareshbhai Rakholiya, MD

  • Rheumatology Physician
  • Pueblo, CO
National Provider Identifier
1043891195
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
DR.0076664 Issued in CO
Practice address
1619 N Greenwood St Ste 402
Pueblo, CO 81003-2658
Phone
(719) 562-2030
Fax
(719) 562-2096
NPI assigned
Apr 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X RS2024-0059 NM
Rheumatology Physician 207RR0500X DR.0076664 CO Primary
Student in an Organized Health Care Education/Training Program 390200000X TL.0008863 CO

Addresses

Primary practice location

1619 N Greenwood St Ste 402
Pueblo, CO 81003-2658

Mailing address

1619 N Greenwood St Ste 402
Pueblo, CO 81003-2658
Phone (719) 562-2030

Other practice location 1

Msc10 5530 1 University Of New Mexico
Albuquerque, NM 87131-2705
Phone (505) 272-6225

Other practice location 2

311 W 14th St
Pueblo, CO 81003-2705
Phone (719) 595-7585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RS2024-0059NMMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1043891195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 N GREENWOOD ST STE 402",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032658",
            "telephone_number": "719-562-2030",
            "fax_number": "719-562-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 N GREENWOOD ST STE 402",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032658",
            "telephone_number": "719-562-2030",
            "fax_number": "719-562-2096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Msc10 5530 1 University Of New Mexico",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871312705",
            "country_code": "US",
            "telephone_number": "505-272-6225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 W 14th St",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810032705",
            "country_code": "US",
            "telephone_number": "719-595-7585",
            "fax_number": "719-595-7589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAKHOLIYA",
        "first_name": "JIGISHA",
        "middle_name": "HARESHBHAI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": "RS2024-0059",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CO",
            "license": "DR.0076664",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": "TL.0008863",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.