WILLOW CREEK MEDICAL LLC
NPI 1073660049
Internal Medicine in Portage, IN

Q: What is Willow Creek Medical LLC's NPI number?

The NPI number for Willow Creek Medical LLC is 1073660049. It was assigned to this organization in the NPPES registry on January 4, 2007.

Q: What is Willow Creek Medical LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since January 04, 2007

3156 WILLOWCREEK RD, PORTAGE, IN 46368(219) 762-4999(219) 762-2288 Get Directions Write a Review

NPPES record last updated: December 17, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Willow Creek Medical Llc NPPES

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

WILLOW CREEK MEDICAL LLC (NPI 1073660049) is a healthcare organization registered as an internal medicine in Portage, Indiana and active in the NPI registry since January 2007. The organization lists Ashwani Kumar, President, as its authorized official.

NPPES Registry Identity

NPI1073660049

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameWILLOW CREEK MEDICAL LLC

Location Address3156 WILLOWCREEK RDPortage, IN 46368-4424

Mailing Address3156 Willowcreek RdPortage, IN 46368-4424 · (219) 762-4999 · Fax (219) 762-2288

Phone(219) 762-4999

Fax(219) 762-2288

Organization SubpartNo

Authorized OfficialAshwani KumarPresident · (219) 762-4999

Enumeration DateJanuary 4, 2007

Last NPPES UpdateDecember 17, 2010

✔ NPI 1073660049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IN · 010133934B

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3156 WILLOWCREEK RD, Portage, IN 46368

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Other Identifiers 4

OtherCG2594Railroad Medicare

Medicare ID-Type Unspecified165230IN

Medicare UPINC25432IN

Medicaid200237500IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

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

KELLY POLLARD AGACNP

Nurse Practitioner (Acute Care)