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

Dr. Adithya Bala, MD

Individual provider General Practice Physician · NPI 1063030021

Dr. Adithya Bala, MD is a General Practice in Rochester, New York. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1425 Portland Ave Bldg 3
Rochester, NY 14621-3095
Phone: (585) 922-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 4351049961 (MI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 4351049961 (MI)

Record details

NPI number1063030021
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 7, 2020
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026
Mailing address1632 Stone St, Saginaw, MI 48602

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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