VENUMADHAV RAYASAM M.D. NPI 1770135550

NPI Information

  • NPI: 1770135550
  • Provider Name: VENUMADHAV RAYASAM, M.D.
  • Classification: Internal Medicine - 207RP1001X
  • Specialization: Pulmonary Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 777 HOSPITAL WAY
    SUITE 202
    POCATELLO, ID
    ZIP 83201
  • Phone: (208) 239-2640

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NPI Details

Venumadhav Rayasam, M.D. is a pulmonary disease internal medicine in Pocatello, ID with 10 years of experience. The provider is 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. Venumadhav Rayasam, M.D. NPI is 1770135550. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

777 HOSPITAL WAY
SUITE 202
POCATELLO, ID
ZIP 83201-175
Phone: (208) 239-2640
Fax: (208) 239-3737

The NPI 1770135550 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/12/2019 and was last updated on 9/2/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine1561378IDAHONo
2207RP1001XInternal MedicinePulmonary Disease1561378IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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