RANMALI KALYANI WALALIYADDA (PAC) – Physician Assistant, NPI 1801976923

RANMALI KALYANI WALALIYADDA (PAC) is a healthcare provider. based in Pocatello, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. PA-624 (ID). The NPI Number for RANMALI KALYANI WALALIYADDA (PAC) is 1801976923

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
RANMALI KALYANI WALALIYADDA (PAC)
NPI
1801976923
Phone
(208) 234-1300
Address
1448 E CENTER ST
Enumeration Date
16 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2082341300
Graduation Year
2006 (20 years ago)
PAC ID
3072612605
Group Practice PAC ID
3274632807
Professional Enrollment ID
I20070622000476
Address ID
ID834024615ID352XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,534 PHYSICIAN ASSISTANT in ID

Loading map...

Provider Addresses for RANMALI KALYANI WALALIYADDA (PAC)

  • 1448, East Center Street, Pocatello, Bannock County, Idaho, 83201, United States

    SUITE E

    POCATELLO, ID 832014132

    Phone: (208) 234-1300

    Fax: (208) 234-1333

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $308.

Total Amount is formed as General ($308) + Research ($0) + Ownership ($0) = $308.

Last reported payment date: 2024-08-26 • Largest payer in this snapshot: Janssen Biotech, Inc. ($187).

Total Amount

$308

General + Research + Ownership

Payments

10

Total payment records

General Amount

$308

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-06-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070622000476IPhysician AssistantIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J7322Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg3,52825$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg2,593250$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance363135$0
76881Complete ultrasound scan of joint314160$0
96372Injection of drug or substance under skin or into muscle129127$0
View full utilization report →

Insurance plans in this area (ZIP 83201)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274632807View full group profile
NameSpecialtyState
Nurse PractitionerID
-ID
Physician AssistantID
R H E U M A T O L O G YID
Physician AssistantID

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What identifier follows RANMALI KALYANI WALALIYADDA (PAC) across health systems?
The NPI 1801976923 uniquely identifies RANMALI KALYANI WALALIYADDA (PAC) in U.S. healthcare data.
Is RANMALI KALYANI WALALIYADDA (PAC)'s NPI status active today?
Active status means RANMALI KALYANI WALALIYADDA (PAC)'s NPI record is not deactivated in the public file.
What type of care does RANMALI KALYANI WALALIYADDA (PAC) provide?
RANMALI KALYANI WALALIYADDA (PAC)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to RANMALI KALYANI WALALIYADDA (PAC)?
RANMALI KALYANI WALALIYADDA (PAC) is associated with Pocatello, Idaho in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

Similar Providers

MR. WALTER A STEIN (PA)

Physician Assistant
444, Hospital Way, Pocatello, Bannock County, Idaho, 83201, United States
NPI: 1457352734

MATTHEW L MCKINLAY (PA-C)

Physician Assistant
OrthoIdaho, 2240, East Center Street, Pocatello, Bannock County, Idaho, 83201, United States
NPI: 1851385538

DEBRA S MCKAY (PA-C)

Physician Assistant
PO BOX 2377
NPI: 1730161399

LANA BORGHOLTHAUS (PA)

Physician Assistant
Family Medicine/Dental Sciences, 465, Memorial Drive, Pocatello, Bannock County, Idaho, 83201, United States
NPI: 1255315974

NORA L KIRKPATRICK (PA)

Medical Physician Assistant
6161 S Yale Ave
NPI: 1801862784

MR. PAUL BIENIASZ (PA-C)

Medical Physician Assistant
PO BOX 726
NPI: 1518934181

STEVEN BOE SIMMONS (PA-C)

Physician Assistant
OrthoIdaho, 2240, East Center Street, Pocatello, Bannock County, Idaho, 83201, United States
NPI: 1740212190

InterMountain Medical Clinic

Family Medicine Physician
1951, Bench Road, Pocatello, Bannock County, Idaho, 83201, United States
NPI: 1205869310

ROBERT CHARLES BARKUS (PA-C)

Physician Assistant
651, Memorial Drive, Pocatello, Bannock County, Idaho, 83201, United States
NPI: 1700893088