INTERNAL MEDICINE,GERIATRICS AND ONCOLOGY GROUP, P.C.
NPI 1417983537
Internal Medicine in Portage, IN

Q: What is Internal Medicine,geriatrics And Oncology Group, P.C.'s specialty?

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

Active since June 23, 2006CLIA 15D0912981 · Waiver

2640 HAMSTROM RD, PORTAGE, IN 46368(219) 762-9523(219) 763-3120 Get Directions Write a Review

NPPES record last updated: July 18, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Internal Medicine,geriatrics And Oncology Group, P.c. NPPES

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

INTERNAL MEDICINE,GERIATRICS AND ONCOLOGY GROUP, P.C. (NPI 1417983537), doing business as Shreyas A. Desai, M.d., is a healthcare organization registered as an internal medicine in Portage, Indiana and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Diana G Neumann, Billing Clerk, as its authorized official.

NPPES Registry Identity

NPI1417983537

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameINTERNAL MEDICINE,GERIATRICS AND ONCOLOGY GROUP, P.C.

Location Address2640 HAMSTROM RDPortage, IN 46368-3832

Mailing Address2640 Hamstrom RdPortage, IN 46368-3832 · (219) 762-9523 · Fax (219) 763-3120

Phone(219) 762-9523

Fax(219) 763-3120

Organization SubpartNo

Authorized OfficialDiana G NeumannBilling Clerk · (219) 464-4786

Enumeration DateJune 23, 2006

Last NPPES UpdateJuly 18, 2014

✔ NPI 1417983537 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 · 01027933A

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.

2640 HAMSTROM RD, Portage, IN 46368

Open in Google Maps ↗

Other Names 1

Former Legal Business NameShreyas A. Desai, M.d.

Other Identifiers 5

Medicaid200201230IN

Medicare PIN234810AIN

Medicare UPINC25010IN

Medicaid100157480AIN

Medicare PIN235780AIN

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 Anthem Blue Cross and Blue Shield.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)

Internal Medicine,geriatrics And Oncology Group, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 6 clinicians reassign Medicare billing to Internal Medicine,geriatrics And Oncology Group, P.C., which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.