VENUMADHAV RAYASAM M.D.
NPI 1770135550
Internal Medicine - Pulmonary Disease in Pocatello, ID

Active since July 12, 2019PECOS EnrolledAccepts Medicare Assignment
777 HOSPITAL WAY, SUITE 202, POCATELLO, ID 83201(208) 239-2640(208) 239-3737 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 2, 2025, Jul 12, 2019 (2 updates tracked since 2019).

About Venumadhav Rayasam M.d. NPPES

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

VENUMADHAV RAYASAM M.D. (NPI 1770135550) is an individual pulmonary disease provider in Pocatello, Idaho, licensed in Idaho (1561378) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1770135550
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameVENUMADHAV RAYASAMCredential: M.D.
Location Address777 HOSPITAL WAY, SUITE 202Pocatello, ID 83201-5175
Mailing AddressP.o. Box 4168Pocatello, ID 83205-4168 · (208) 239-1035 · Fax (208) 239-3626
Fax(208) 239-3737
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 12, 2019
Last NPPES UpdateSeptember 2, 20252 updates tracked since enumeration
✔ NPI 1770135550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in ID · 1561378
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 1561378 (ID)
777 HOSPITAL WAY, Pocatello, ID 83201

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Venumadhav Rayasam M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921334319
PECOS Enrollment IDI20250701000961
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 Venumadhav Rayasam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Acute Care Hospital
777 HOSPITAL WAY
Pocatello, ID 83201
  • Reassigned Medicare billing, Idaho enrollment
  • 190 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 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID
4/5 CMS rating
OwnershipProprietary
CMS Certification Number130028
Location777 Hospital WayPocatello, ID 83201 · Bannock County
Emergency services Birthing friendly

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Caribou Medical Center

Critical Access Hospitals · Soda Springs, ID
OwnershipGovernment - Local
CMS Certification Number131309
Location300 South 3rd WestSoda Springs, ID 83276 · Caribou County
Emergency services

Bear Lake Memorial Hospital

Critical Access Hospitals · Montpelier, ID
OwnershipGovernment - Local
CMS Certification Number131316
Location164 South Fifth StreetMontpelier, ID 83254 · Bear Lake County
Emergency services

Bingham Memorial Hospital

Critical Access Hospitals · Blackfoot, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131325
Location98 Poplar StreetBlackfoot, ID 83221 · Bingham County
Emergency services

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 20

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

Nurse Anesthetist, Certified Registered
777 HOSPITAL WAY
POCATELLO, ID 83201
Anesthesiology
777 HOSPITAL WAY
POCATELLO, ID 83201
Nurse Practitioner (Family)
777 HOSPITAL WAY
POCATELLO, ID 83201
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Psychiatry & Neurology (Neurology)
777 HOSPITAL WAY, G15
POCATELLO, ID 83201
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Specialist/Technologist (Athletic Trainer)
777 HOSPITAL WAY
POCATELLO, ID 83201

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 Venumadhav Rayasam's NPI number?

The NPI number for Venumadhav Rayasam is 1770135550. It was assigned to this individual provider in the NPPES registry on July 12, 2019.

Where is Venumadhav Rayasam located?

Venumadhav Rayasam practices at 777 Hospital Way Suite 202, Pocatello, ID 83201. The listed phone number is (208) 239-2640.

What is Venumadhav Rayasam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Venumadhav Rayasam enrolled in Medicare?

Yes. Venumadhav Rayasam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Venumadhav Rayasam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Venumadhav Rayasam reassigns Medicare benefits to Pocatello Health Services, LLC (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 Venumadhav Rayasam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Venumadhav Rayasam accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health list Venumadhav Rayasam 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 Venumadhav Rayasam affiliated with any hospitals?

According to CMS data, Venumadhav Rayasam is affiliated with Portneuf Medical Center, Mountain View Hospital, Caribou Medical Center, Bear Lake Memorial Hospital and Bingham Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Venumadhav Rayasam was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.