MR. VENKATA KALYAN C BYRAPOGU MD
NPI 1013619832
Student in an Organized Health Care Education/Training Program in Idaho Falls, ID

Q: What is Venkata Kalyan Byrapogu's NPI number?

The NPI number for Venkata Kalyan Byrapogu is 1013619832. It was assigned to this individual provider in the NPPES registry on March 17, 2023.

Q: What is Venkata Kalyan Byrapogu's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 17, 2023PECOS Enrolled

3100 CHANNING WAY, IDAHO FALLS, ID 83404(208) 970-1123 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Venkata Kalyan C Byrapogu Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. VENKATA KALYAN C BYRAPOGU MD (NPI 1013619832) is an individual student in an organized health care education/training program in Idaho Falls, Idaho and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013619832

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMR. VENKATA KALYAN C BYRAPOGUCredential: MD

Location Address3100 CHANNING WAYIdaho Falls, ID 83404-7533

Mailing Address3100 Channing WayIdaho Falls, ID 83404-7533 · (208) 970-1123

Phone(208) 970-1123

Sole ProprietorNo

Enumeration DateMarch 17, 2023

NPPES CertifiedMarch 17, 2023

✔ NPI 1013619832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3100 CHANNING WAY, Idaho Falls, ID 83404

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Venkata Kalyan C Byrapogu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARL SAMUEL BRAYTON DO

Student in an Organized Health Care Education/Training Program