PRAVEEN ANURADHA WALALIYADDA MD
NPI 1710515135
Internal Medicine - Rheumatology in Pocatello, ID
About Praveen Anuradha Walaliyadda Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRAVEEN ANURADHA WALALIYADDA MD (NPI 1710515135) is an individual rheumatology provider in Pocatello, Idaho, licensed in Idaho (M-16603) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with University Of Missouri Health Care, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Praveen Anuradha Walaliyadda Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Praveen Walaliyadda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pocatello, ID 83201
- Reassigned Medicare billing, Idaho enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Missouri Health Care
Acute Care Hospitals · Columbia, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Praveen Walaliyadda's NPI number?
The NPI number for Praveen Walaliyadda is 1710515135. It was assigned to this individual provider in the NPPES registry on March 31, 2020.
Where is Praveen Walaliyadda located?
Praveen Walaliyadda practices at 1448 E Center St Ste E, Pocatello, ID 83201. The listed phone number is (208) 234-1300.
What is Praveen Walaliyadda's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.
Is Praveen Walaliyadda enrolled in Medicare?
Yes. Praveen Walaliyadda is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Praveen Walaliyadda's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Praveen Walaliyadda reassigns Medicare benefits to Arthritis Specialty Center,inc (Pocatello, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Praveen Walaliyadda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Praveen Walaliyadda accept?
Health plans from Molina Healthcare and Select Health list Praveen Walaliyadda as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Praveen Walaliyadda affiliated with any hospitals?
According to CMS data, Praveen Walaliyadda is affiliated with University Of Missouri Health Care.
When was this NPI record last updated?
The NPPES record for Praveen Walaliyadda was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Praveen Anuradha Walaliyadda, MD · NPI 1710515135
Rheumatology physician in Pocatello, Idaho. Individual provider, active in the CMS NPPES registry since March 31, 2020.
## Identity
- **NPI:** 1710515135 (Entity type: Individual)
- **Enumerated:** March 31, 2020
- **Primary specialty:** Internal Medicine - Rheumatology · taxonomy 207RR0500X
- **State license:** M-16603 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 1448 E CENTER ST STE E, Pocatello, ID 83201-4132
- **Phone:** (208) 234-1300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Arthritis Specialty Center,inc (NPI 1801989454, Pocatello, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1710515135) · Data from the CMS NPPES public registry.