VENKATRAMAN SADANAND MD
NPI 1497741417
Surgery - Pediatric Surgery in Boise, ID

Q: What is Venkatraman Sadanand's NPI number?

The NPI number for Venkatraman Sadanand is 1497741417. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Q: What is Venkatraman Sadanand's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Active since September 26, 2005PECOS Enrolled

305 E JEFFERSON ST, BOISE, ID 83712(208) 381-7360 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Venkatraman Sadanand Md NPPES

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

VENKATRAMAN SADANAND MD (NPI 1497741417) is an individual pediatric surgery provider in Boise, Idaho, licensed in Idaho (M-17274) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Loma Linda.

NPPES Registry Identity

NPI1497741417

Entity TypeIndividualMale

Primary Taxonomy2086S0120X

Provider Legal NameVENKATRAMAN SADANANDCredential: MD

Location Address305 E JEFFERSON STBoise, ID 83712-6231

Mailing Address190 E Bannock StBoise, ID 83712-6241

Phone(208) 381-7360

Sole ProprietorNo

Enumeration DateSeptember 26, 2005

Last NPPES UpdateNovember 27, 2023

NPPES CertifiedNovember 27, 2023

✔ NPI 1497741417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0120X

Licenses✔ Licensed in ID · M-17274✔ Licensed in IL · 036-110940

Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

305 E JEFFERSON ST, Boise, ID 83712

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Secondary Practice Location 1

Location 125455 Barton Rd Ste 108ALoma Linda, CA 92354-3139 · Phone (909) 558-4479

Other Identifiers 1

Medicaid036-110940IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Venkatraman Sadanand 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.

Medicare Billing Reassignment

Medicare enrollment records show Venkatraman Sadanand reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Lukes Clinic-Treasure Valley LLC

Same address

Family Medicine

190 E BANNOCK ST
Boise, ID 83712

Reassigned Medicare billing, Idaho enrollment
1,312 clinicians in this Medicare group

NPI 1326336058 (208) 381-2222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

HAILEY LIZABETH COLLETTE MS

Dietitian, Registered (Nutrition, Pediatric)