MEDICAL ASSOCIATES OF NWI LLC - NPI 1487949889 - Internal Medicine in Portage, IN

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RP1001X and a focus in Pulmonary Disease.

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About Medical Associates Of Nwi Llc NPPES

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

MEDICAL ASSOCIATES OF NWI LLC (NPI 1487949889), doing business as Manwi, is a healthcare organization registered as a pulmonary disease in Portage, Indiana and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through October 16, 2027, maintains a secondary practice location in Valparaiso, and lists Gaurav Kumar, Owner, as its authorized official.

NPPES Registry Identity

NPI1487949889

Entity TypeOrganization

Primary Taxonomy207RP1001X

Legal Business NameMEDICAL ASSOCIATES OF NWI LLC

Location Address3156 WILLOWCREEK RDPortage, IN 46368-4424

Mailing Address2700 Valparaiso St # 2001Valparaiso, IN 46383-3123

Phone(219) 762-4999

Organization SubpartNo

Authorized OfficialGaurav KumarOwner · (219) 762-4999

Enumeration DateJune 14, 2011

Last NPPES UpdateJune 18, 2026

NPPES CertifiedJune 18, 2026

✔ NPI 1487949889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in IN · 01065464A

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 01065464A (IN)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 01065464A (IN)

3156 WILLOWCREEK RD, Portage, IN 46368

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Other Names 2

Doing Business AsManwi

Doing Business AsWillowcreek Medical Center

Secondary Practice Location 1

Location 12802 Leonard DrValparaiso, IN 46383-7136 · Phone (219) 462-4399

Other Identifiers 1

Medicaid201030150AIN

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2031244

Medical Associates Of Nwi · Portage, IN

Active · expires Oct 16, 2027

CLIA Number15D2031244

Laboratory TypePhysician Office

Certificate Effective DateOctober 17, 2025

Certificate Expiration DateOctober 16, 2027

Laboratory DirectorGaurav Kumar

Laboratory Phone(219) 762-4999

Laboratory LocationMedical Associates Of Nwi3156 Willowcreek Rd Willowcreek Medical Ctr, Portage, IN 46368

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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.

WILLOW CREEK MEDICAL LLC

Internal Medicine