Praveen Anuradha Walaliyadda, MD - Medicare Geriatric Medicine in Pocatello, ID

Praveen Anuradha Walaliyadda, MD is a medicare enrolled "Internal Medicine - Rheumatology" physician in Pocatello, Idaho. He graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Geriatric Medicine. His current practice location is 1448 E Center St Ste E, Pocatello, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 234-1300.

Praveen Anuradha Walaliyadda is licensed to practice in Idaho (license number M-16603) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1710515135.

Contact Information

Praveen Anuradha Walaliyadda, MD
1448 E Center St Ste E,
Pocatello, ID 83201-4132
(208) 234-1300
Not Available

Map and Direction




Physician's Profile

Full NamePraveen Anuradha Walaliyadda
GenderMale
SpecialityGeriatric Medicine
Experience6 Years
Location1448 E Center St Ste E, Pocatello, Idaho
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Praveen Anuradha Walaliyadda graduated from medical school in 2020
  NPI Data:
  • NPI Number: 1710515135
  • Provider Enumeration Date: 03/31/2020
  • Last Update Date: 06/29/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7416377817
  • Enrollment ID: I20260523000298

Medical Identifiers

Medical identifiers for Praveen Anuradha Walaliyadda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710515135NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric Medicine M16603 (Idaho)Secondary
207RR0500XInternal Medicine - Rheumatology M-16603 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Missouri Health CareColumbia, MOHospital

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Praveen Anuradha Walaliyadda is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Praveen Anuradha Walaliyadda, MD
1448 E Center St Ste E,
Pocatello, ID 83201-4132

Ph: (208) 234-1300
Praveen Anuradha Walaliyadda, MD
1448 E Center St Ste E,
Pocatello, ID 83201-4132

Ph: (208) 234-1300

Reviews and Comments


Internal Medicine Doctors in Pocatello, ID

Jacob Delarosa, MD
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Practice Location: 651 Memorial Dr, Pocatello, ID 83201
Phone: 208-239-1000    
Dr. Don E Mcinturff, M.D.
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Practice Location: 1151 Hospital Way, Building F, Pocatello, ID 83201
Phone: 208-232-1443    Fax: 208-239-3434
Dr. Jarrah Alfadhli, MD
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Practice Location: 777 Hospital Way Ste 101, Pocatello, ID 83201
Phone: 208-239-3899    
Gwendoline Fonebi, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 777 Hospital Way, Pocatello, ID 83201
Phone: 208-239-1720    Fax: 208-239-1726
Aditya Singh,
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Practice Location: 777 Hospital Way Ste 101, Pocatello, ID 83201
Phone: 208-239-3899    
Sherwin D'souza, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 2302 E. Terry Street, Pocatello, ID 83201
Phone: 208-235-5910    Fax: 208-235-5920
Linda L. Babbitt, M.D.
Rheumatology
Medicare: Not Enrolled in Medicare
Practice Location: 500 S 11th Ave, Suite 203, Pocatello, ID 83201
Phone: 208-232-5902    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.