PORTAGE SURGICAL ASSOCIATES INC
NPI 1194778522
Surgery in Ravenna, OH

Active since May 18, 2006
3973 LOOMIS PKWY, SUITE B, RAVENNA, OH 44266(330) 296-8239(330) 296-6528 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Portage Surgical Associates Inc NPPES

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

PORTAGE SURGICAL ASSOCIATES INC (NPI 1194778522) is a healthcare organization registered as a surgery in Ravenna, Ohio and active in the NPI registry since May 2006. The organization lists Edward Panzeter, President, as its authorized official.

NPPES Registry Identity

NPI1194778522
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePORTAGE SURGICAL ASSOCIATES INC
Location Address3973 LOOMIS PKWY, SUITE BRavenna, OH 44266-1803
Mailing Address3973 Loomis Pkwy, Suite BRavenna, OH 44266-1803 · (330) 296-8239 · Fax (330) 296-6528
Fax(330) 296-6528
Organization SubpartNo
Authorized OfficialEdward PanzeterPresident · (330) 296-8239
Enumeration DateMay 18, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1194778522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3973 LOOMIS PKWY, Ravenna, OH 44266

Other Identifiers 1

Medicaid2045263OH

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

Accepted 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 Surgical Associates Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Portage Surgical Associates Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

General Surgery
NPI 1346294683
3973 LOOMIS PKWY SUITE A
Ravenna, OH 44266
(330) 296-8239
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1740232735
3973 LOOMIS PKWY SUITE B
Ravenna, OH 44266
(330) 296-8239
✔ PECOS✔ Accepts MedicareSame address

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 Surgical Associates Inc's NPI number?

The NPI number for Portage Surgical Associates Inc is 1194778522. It was assigned to this organization in the NPPES registry on May 18, 2006.

Where is Portage Surgical Associates Inc located?

Portage Surgical Associates Inc is located at 3973 Loomis Pkwy Suite B, Ravenna, OH 44266. The listed phone number is (330) 296-8239.

What is Portage Surgical Associates Inc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Portage Surgical Associates Inc enrolled in Medicare?

Yes. Portage Surgical Associates Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Portage Surgical Associates Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in General Surgery, reassign their Medicare billing to Portage Surgical Associates Inc. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Portage Surgical Associates Inc accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Portage Surgical Associates Inc 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 Surgical Associates Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.