Organization Active NPI

Arthritis Specialty Center,Inc

  • Specialist
  • Pocatello, ID
National Provider Identifier
1801989454
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
M8731 Issued in ID
Legal business name
ARTHRITIS SPECIALTY CENTER,INC
Practice address
1448 E Center Street
Suite E
Pocatello, ID 83201
Phone
(208) 234-1300
Fax
(208) 234-1333
NPI assigned
Oct 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ananda Walaliyadda, MDNPI 1497747703
Title
Owner
Phone
(208) 234-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X M8731 ID Primary

Addresses

Primary practice location

1448 E Center Street
Suite E
Pocatello, ID 83201

Mailing address

1448 E Center Street
Suite E
Pocatello, ID 83201
Phone (208) 234-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070622000454 ID Part B Supplier - Clinic/Group Practice 3274632807 Receives reassigned benefits from 6 practitioners
Practice locations: Idaho Falls, ID; Pocatello, ID; Rigby, ID

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2027091Arthritis Specialty Center1448 E Center St Suite B, Pocatello, ID 83201ComplianceJul 12, 2028

National Provider Directory

National Provider Directory

Locations

352 W Sunnyside Rd
Idaho Falls, ID 83402
Phone (208) 234-1300

1448 E Center St
Ste E
Pocatello, ID 83201
Phone (208) 234-1300

530 Rigby Lake Dr
Ste 2
Rigby, ID 83442
Phone (208) 232-0452

711 Rigby Lake Dr
Ste 1400
Rigby, ID 83442
Phone (208) 234-1300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHFAAA

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801989454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 E CENTER STREET",
            "address_2": "SUITE E",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "83201",
            "telephone_number": "208-234-1300",
            "fax_number": "208-234-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 E CENTER STREET",
            "address_2": "SUITE E",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "83201",
            "telephone_number": "208-234-1300",
            "fax_number": "208-234-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHRITIS SPECIALTY CENTER,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALALIYADDA",
        "authorized_official_first_name": "ANANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-234-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "ID",
            "license": "M8731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.