Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Vidush Philip Athyal, MD, MPH

Individual provider Family Medicine Physician · NPI 1184645095

Dr. Vidush Philip Athyal, MD, MPH is registered under Family Practice in Rochester, New York. Qualified in 2003, 23 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
23
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

777 Clinton Ave S Ste 500
Rochester, NY 14620-1448
Phone: (585) 279-4720
Fax: (585) 279-4725
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 245196 (NY)

Record details

NPI number1184645095
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MPH
Sole proprietorNo
NPI enumeratedJuly 23, 2006
Last updated in NPPESDecember 3, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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