Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PRAVEEN ANURADHA WALALIYADDA MD
NPI 1710515135
Internal Medicine - Rheumatology in Pocatello, ID

Q: 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.

Q: What is Praveen Walaliyadda's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Active since March 31, 2020PECOS Enrolled

1448 E CENTER ST STE E, POCATELLO, ID 83201(208) 234-1300 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 20, 2026, Mar 31, 2020 (2 updates tracked since 2020).

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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

NPI1710515135

Entity TypeIndividualMale

Primary Taxonomy207RR0500X

Provider Legal NamePRAVEEN ANURADHA WALALIYADDACredential: MD

Location Address1448 E CENTER ST STE EPocatello, ID 83201-4132

Mailing Address1448 E Center St Ste EPocatello, ID 83201-4132 · (208) 234-1300

Phone(208) 234-1300

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 31, 2020

Last NPPES UpdateJune 29, 20262 updates tracked since enumeration

NPPES CertifiedJune 29, 2026

✔ NPI 1710515135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in ID · M-16603

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License M16603 (ID)

1448 E CENTER ST STE E, Pocatello, ID 83201

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Praveen Anuradha Walaliyadda Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416377817

PECOS Enrollment IDI20260523000298

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.

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, MO

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number260141

LocationOne Hospital DriveColumbia, MO 65212 · Boone County

Emergency services Birthing friendly

Physician 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.

New Patient

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

HEMANTHA NAVEEN WALALIYADDA MD

Internal Medicine

1448 E CENTER ST STE E
POCATELLO, ID 83201

Bannock County (208) 241-1300

JAMES L BLAINE P.A.-C

Physician Assistant (Medical)

1448 E CENTER ST STE E
POCATELLO, ID 83201

Bannock County (208) 234-1300

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.

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 55 days 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.