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PORTAGE INTERNAL MEDICINE ASSOCIATES LLC
NPI 1083809784
Internal Medicine - Geriatric Medicine in Kent, OH

Active since September 06, 2007
503 OVERLOOK DR, KENT, OH 44240(330) 645-6463(330) 645-6462 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Portage Internal Medicine Associates Llc NPPES

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

PORTAGE INTERNAL MEDICINE ASSOCIATES LLC (NPI 1083809784) is a healthcare organization registered as a geriatric medicine in Kent, Ohio and active in the NPI registry since September 2007. The organization lists Dean J Deperro, Physican, as its authorized official.

NPPES Registry Identity

NPI1083809784
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NamePORTAGE INTERNAL MEDICINE ASSOCIATES LLC
Location Address503 OVERLOOK DRKent, OH 44240-5824
Mailing AddressPo Box 45519Westlake, OH 44145-0519 · (800) 514-4390 · Fax (440) 808-3675
Phone(330) 645-6463
Fax(330) 645-6462
Organization SubpartNo
Authorized OfficialDean J DeperroPhysican · (330) 346-0800
Enumeration DateSeptember 6, 2007
Last NPPES UpdateDecember 20, 2023
NPPES CertifiedDecember 20, 2023
✔ NPI 1083809784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in OH · 34006535
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
503 OVERLOOK DR, Kent, OH 44240
Open in Google Maps ↗

Other Identifiers 2

Medicaid2192863OH
OtherDO7407OH · Railroad Care

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Portage Internal Medicine Associates Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Portage Internal Medicine Associates LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dean Deperro, DO
Internal Medicine
NPI 1568567410
101 5TH ST SE SUITE C
Barberton, OH 44203
(330) 645-6463
✔ PECOS✔ Accepts Medicare17 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Portage Internal Medicine Associates LLC's NPI number?

The NPI number for Portage Internal Medicine Associates LLC is 1083809784. It was assigned to this organization in the NPPES registry on September 6, 2007.

Where is Portage Internal Medicine Associates LLC located?

Portage Internal Medicine Associates LLC is located at 503 Overlook Dr, Kent, OH 44240. The listed phone number is (330) 645-6463.

What is Portage Internal Medicine Associates LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Portage Internal Medicine Associates LLC enrolled in Medicare?

Yes. Portage Internal Medicine Associates LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Portage Internal Medicine Associates LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Portage Internal Medicine Associates LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Portage Internal Medicine Associates LLC accept?

Health plans from CareSource and Molina Healthcare list Portage Internal Medicine Associates LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Portage Internal Medicine Associates LLC was last updated on December 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.