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

Dr. Jayanthi Idury

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609012285

Dr. Jayanthi Idury is an Internal Medicine in Modesto, California. Qualified in 2002, 24 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
24
Licensed in
CA
In the registry since
2009
Specialties on file
2

Practice location Address checks out

4601 Dale Rd Kaiser Permanente
Modesto, CA 95356-9718
Phone: (925) 577-1489
Show map & directions

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

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence A106098 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1609012285
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 2, 2009
Last updated in NPPESFebruary 11, 2022
Mailing address4601 Dale Rd, Kaiser Permanenete, Modesto, CA 95356-9718

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Modesto