DR. VIDUSH PHILIP ATHYAL MD, MPH
NPI 1184645095
Family Medicine in Rochester, NY

Q: What is Vidush Athyal's NPI number?

The NPI number for Vidush Athyal is 1184645095. It was assigned to this individual provider in the NPPES registry on July 23, 2006.

Q: What is Vidush Athyal's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Vidush Athyal was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 23, 2006PECOS EnrolledAccepts Medicare Assignment

777 CLINTON AVE S, SUITE 500, ROCHESTER, NY 14620(585) 279-4720(585) 279-4725 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Vidush Philip Athyal Md, Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VIDUSH PHILIP ATHYAL MD, MPH (NPI 1184645095) is an individual family medicine provider in Rochester, New York, licensed in New York (245196) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1184645095

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. VIDUSH PHILIP ATHYALCredential: MD, MPH

Location Address777 CLINTON AVE S, SUITE 500Rochester, NY 14620-1448

Mailing Address777 Clinton Ave S, Suite 500Rochester, NY 14620-1448 · (585) 279-4720 · Fax (585) 279-4725

Phone(585) 279-4720

Fax(585) 279-4725

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJuly 23, 2006

Last NPPES UpdateDecember 3, 2021

✔ NPI 1184645095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 245196

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

777 CLINTON AVE S, Rochester, NY 14620

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Vidush Philip Athyal Md, Mph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022104561

PECOS Enrollment IDI20081105000653

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Vidush Athyal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group

2,239 mi

Health Maintenance Organization

43112 N 15TH ST
Lancaster, CA 93534

Reassigned Medicare billing, California enrollment
13,921 clinicians in this Medicare group

NPI 1982863783 (661) 726-2279

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14620 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOPHIA EMMANUELLE HANNA DO

Student in an Organized Health Care Education/Training Program