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KOTA MEDICAL PC
NPI 1063668614
Internal Medicine - Gastroenterology in Portage, IN

Active since August 14, 2008
3630 WILLOWCREEK RD, PORTAGE, IN 46368(219) 759-5812(219) 759-5890 Get Directions Write a Review

NPPES record last updated: March 28, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kota Medical Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOTA MEDICAL PC (NPI 1063668614) is a healthcare organization registered as a gastroenterology in Portage, Indiana and active in the NPI registry since August 2008. The organization lists Ranga Rao Kota, Owner, as its authorized official.

NPPES Registry Identity

NPI1063668614
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameKOTA MEDICAL PC
Location Address3630 WILLOWCREEK RDPortage, IN 46368-5075
Mailing Address3630 Willowcreek RdPortage, IN 46368-5075 · (219) 759-5812 · Fax (219) 759-5890
Phone(219) 759-5812
Fax(219) 759-5890
Organization SubpartNo
Authorized OfficialRanga Rao KotaOwner · (219) 759-5812
Enumeration DateAugust 14, 2008
Last NPPES UpdateMarch 28, 2013
✔ NPI 1063668614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in IN · 01038987
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 01038987 (IN)
3630 WILLOWCREEK RD, Portage, IN 46368
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Other Identifiers 3

Medicare UPINE13459IN
Medicaid200007810IN
Medicare PIN257990AIN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ATLANTIC SILVERSIDE EMERGENCY PHYSICIANS LLC
Emergency Medicine
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (469) 401-2386
RANGA KOTA MD, PC
Internal Medicine (Gastroenterology)
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 759-5812
PORTER HOSPITAL LLC
Rehabilitation Unit
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 263-4600
ASSOCIATES IN SURGERY, PC
Surgery
3630 WILLOWCREEK RD, SUITE 3
PORTAGE, IN 46368
Porter County (219) 759-4577
DR. SHANE DAVID BUSH M.D.
Family Medicine
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 364-3700
HEATHER BOLAN
Speech-Language Pathologist
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 364-3000
PORTER GROUP SERVICES, LLC
Hospitalist
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 364-3000
MS. CRISTINA LUBASH FNP
Nurse Practitioner (Family)
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 364-3700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kota Medical PC's NPI number?

The NPI number for Kota Medical PC is 1063668614. It was assigned to this organization in the NPPES registry on August 14, 2008.

Where is Kota Medical PC located?

Kota Medical PC is located at 3630 Willowcreek Rd, Portage, IN 46368. The listed phone number is (219) 759-5812.

What is Kota Medical PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Kota Medical PC was last updated on March 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.