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

Dr. Vijay Raveendran Pottathil, MD

Individual provider Internal Medicine Physician · NPI 1053546945

Dr. Vijay Raveendran Pottathil, MD is an Internal Medicine in Stanford, California. Graduated from University of Michigan Medical School in 2009, 17 years ago. Practices with Dignity Health Medical Foundation, a 1,204-clinician group and accepts Medicare assignment. Licensed in California and Iowa.

Years since qualifying
17
Trained at
University of Michigan Medical School
Licensed in
CA, IA
In the registry since
2009
Specialties on file
4
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

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence A147576 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 39494 (IA)
Gastroenterology Physician Taxonomy 207RG0100X · Licence MD-39493 (IA)
Hospitalist Physician Taxonomy 208M00000X · Licence 39493 (IA)

Record details

NPI number1053546945
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 20, 2009
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesGASTROENTEROLOGY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2009 (17 years in practice)
Group practice Dignity Health Medical Foundation — 1204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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