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

Abanthi Jagadish

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174936132

Abanthi Jagadish is an Internal Medicine in Rochester, New York. Qualified in 2014, 12 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment.

Years since qualifying
12
In the registry since
2014

Practice location Address checks out

1425 Portland Ave
Rochester, NY 14621-3001
Phone: (585) 922-4829
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1174936132
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 7, 2014
Last updated in NPPESNovember 10, 2021
Certification dateNovember 10, 2021
Mailing address64 Buell Dr Apt C, Rochester, NY 14621-2935

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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