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

Q: 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.

Q: What is Venumadhav Rayasam's specialty?

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

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: August 09, 2026.

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

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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

Phone(208) 239-2640

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

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

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.

Hospital Affiliations CMS Care Compare 4

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

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.

MS. EUNICE GRACE GARDNER PH.D.

Psychologist (Adult Development & Aging)

777 HOSPITAL WAY
POCATELLO, ID 83201

Bannock County (208) 239-1710

JESS LUFKIN CRNA

Nurse Anesthetist, Certified Registered

777 HOSPITAL WAY
POCATELLO, ID 83201

Bannock County (208) 716-7215

ROGER A COOK MD

Anesthesiology

777 HOSPITAL WAY
POCATELLO, ID 83201

Bannock County (208) 239-1000

JASON MONTGOMERY NP-C

Nurse Practitioner (Family)

777 HOSPITAL WAY
POCATELLO, ID 83201

Bannock County (208) 239-2580

ALYSSA M WOODBURY PA-C

Physician Assistant

777 HOSPITAL WAY
POCATELLO, ID 83201

Bannock County (208) 239-1226

SHANNON ALISON WEBB PA-C

Physician Assistant

777 HOSPITAL WAY
POCATELLO, ID 83201

Bannock County (208) 239-1000

DR. ROBERT MICHAEL KENNEDY M.D.

Psychiatry & Neurology (Neurology)

777 HOSPITAL WAY, G15
POCATELLO, ID 83201

Bannock County (208) 239-2722

MEDICAL IMAGING ASSOC OF IDAHO FALLS, PA

Physician Assistant

777 HOSPITAL WAY
POCATELLO, ID 83201

Bannock County (208) 227-2600

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.

What insurance does Venumadhav Rayasam accept?

Health plans from Providence Health Plan 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 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 11 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.