Dr. Jay Vithalani, MD

Dr. Vithalani practices at Adventist Health Sonora in Sonora, California, part of Adventist Health.

Dr. Vithalani's NPI, 1932602026, was assigned on March 14, 2018. Dr. Vithalani graduated from American University of Antigua College of Medicine in 2017. Dr. Vithalani's California license number on file is A173553.

Dr. Vithalani's primary practice is Adventist Health Sonora, at 1000 Greenley Road, Sonora, CA 95370 in Tuolumne County. The practice phone is (209) 536-5000.

Dr. Vithalani's primary practice is Adventist Health Sonora in Sonora, California, part of Adventist Health. Dr. Vithalani is also affiliated with Dignity Health - St. Joseph's Medical Center. The medical group on file is Vituity. Dmand AI also links Dr. Vithalani to 1 more hospital and 1 medical group, each named with a free account.

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Vithalani practices, 3 sites in all. Vendor and product names are available with a free account.

Family medicine is Dr. Vithalani's primary specialty in the NPI Registry, under taxonomy code 207Q00000X. Dr. Vithalani is board certified in family medicine by the American Board of Family Medicine. Dr. Vithalani has a license on file in California.

Dmand AI lists acute diabetes, acute respiratory failure, acute stomach ulcer, anemia, cardiac arrhythmia, cellulitis, circulatory problems in extremities and congestive heart failure among the conditions Dr. Vithalani treats.

CMS data shows 2,204 Medicare services from Dr. Vithalani across 6 procedure codes in 2024, for 630 Medicare patients. Medicare paid $211,631 for them. Every service was in a facility, such as a hospital, rather than an office.

CMS counts 630 Medicare patients who saw Dr. Vithalani in 2024. The largest group is 65 to 74, with 240 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 33% are also on Medicaid. Their average risk score is 1.70, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Vithalani's median patient age at 77, with 52% women.

In 2024, Dr. Vithalani wrote 934 Medicare Part D claims for 315 patients. 86% of them were for generic drugs. CMS names the drug for 640 of them, across 26 drugs with 11 or more claims each, at $20,663 in total drug cost. In 2023, CMS named 392 claims across 20 drugs.

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 82 out of 100 for Dr. Vithalani for performance year 2024, reported as part of a group. Dr. Vithalani accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Dmand AI links 1 paper to Dr. Vithalani.

CMS Open Payments shows 7 general payments to Dr. Vithalani from 3 drug and device companies from 2022 to 2025. Food and beverage make up the largest share, 100% of the total. Janssen Pharmaceuticals, Inc paid the most, $84.

Dr. Vithalani graduated from American University of Antigua College of Medicine in 2017.

Dr. Vithalani is in network with 6 carriers, including United Healthcare, Aspirus Health Plan and Blue Cross and Blue Shield of Kansas City. PPO plans come from the most carriers, 3. Check the plan with the practice before a visit.