KOTA MEDICAL PC
NPI 1063668614
Internal Medicine - Gastroenterology in Portage, IN
NPI Status: Active since August 14, 2008
Contact Information
3630 WILLOWCREEK RD
PORTAGE, IN
ZIP 46368
Phone: (219) 759-5812
Fax: (219) 759-5890
- Organization
- Internal Medicine
- Gastroenterology
About KOTA MEDICAL PC
This page provides the complete NPI Profile along with additional information for Kota Medical Pc, an internist established in Portage, Indiana operating as a Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1063668614 assigned on August 2008. The practitioner's primary taxonomy code is 207RG0100X with license number 01038987 (IN). The provider is registered as an organization and their NPI record was last updated 12 years ago. Kota Medical Pc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Ranga Rao Kota Md (Owner)
- NPI
- 1063668614
- Provider Name
- KOTA MEDICAL PC
- Entity Type
- Organization
- Location Address
- 3630 WILLOWCREEK RD PORTAGE, IN 46368
- Location Phone
- (219) 759-5812
- Location Fax
- (219) 759-5890
- Mailing Address
- 3630 WILLOWCREEK RD PORTAGE, IN 46368
- Mailing Phone
- (219) 759-5812
- Mailing Fax
- (219) 759-5890
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-14-2008
- Last Update Date
- 03-28-2013
- Code Navigator
An internist like Kota Medical Pc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Gastroenterology
- Taxonomy Code
- 207RG0100X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 01038987
- License State
- IN
- Taxonomy Description
- An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | 01038987 (IN) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| E13459 | MEDICARE UPIN (02) | IN | |
| 200007810 | MEDICAID (05) | IN | |
| 257990A | MEDICARE PIN (08) | IN |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 6 | 6 | 8 | 6 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 12 | 6 | 16 | 6 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 1 + 2 + 6 + 1 + 6 + 6 + 2 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1063668614 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1649213554 | MICHAEL M BERMUDEZ MD Individual | Emergency Medicine | 3630 WILLOWCREEK RD PORTAGE, IN 46368 (219) 364-3000 |
| 1245312586 | ASSOCIATES IN SURGERY, PC Organization | Surgery | 3630 WILLOWCREEK RD SUITE 3 PORTAGE, IN 46368 (219) 759-4577 |
| 1467510677 | BAQHAR MOHIDEEN MD, PC Organization | Internal Medicine (Pulmonary Disease) | 3630 WILLOWCREEK RD PORTAGE, IN 46368 (219) 759-1441 |
| 1780742353 | BAQHAR MOHIDEEN MD Individual | Internal Medicine (Pulmonary Disease) | 3630 WILLOWCREEK RD PORTAGE, IN 46368 (219) 759-1441 |
| 1457566309 | PORTER PHYSICIAN SERVICES LLC Organization | Internal Medicine | 3630 WILLOWCREEK RD PORTAGE, IN 46368 (219) 759-5791 |
| 1689841165 | WOMEN'S MEDICAL CARE LLC Organization | Obstetrics & Gynecology | 3630 WILLOWCREEK RD PORTAGE, IN 46368 (219) 759-1389 |
| 1124452628 | RANGA KOTA MD, PC Organization | Internal Medicine (Gastroenterology) | 3630 WILLOWCREEK RD PORTAGE, IN 46368 (219) 759-5812 |
| 1033507538 | ATLANTIC SILVERSIDE EMERGENCY PHYSICIANS LLC Organization | Emergency Medicine | 3630 WILLOWCREEK RD PORTAGE, IN 46368 (469) 401-2386 |
| 1316258874 | DR. SHANE DAVID BUSH M.D. Individual | Family Medicine | 3630 WILLOWCREEK RD PORTAGE, IN 46368 (219) 364-3700 |
| 1336519685 | HEATHER BOLAN Individual | Speech-Language Pathologist | 3630 WILLOWCREEK RD PORTAGE, IN 46368 (219) 364-3000 |
| 1346616646 | PORTER GROUP SERVICES, LLC Organization | Hospitalist | 3630 WILLOWCREEK RD PORTAGE, IN 46368 (219) 364-3000 |
| 1821059148 | DONALD SQUIRES DUNEVANT MD Individual | Family Medicine | 3630 WILLOWCREEK RD PORTAGE, IN 46368 (219) 759-5791 |
| 1396383881 | JED LEIFSON Individual | Nurse Anesthetist, Certified Registered | 3630 WILLOWCREEK RD PORTAGE, IN 46368 (219) 364-3000 |
| 1558322982 | PORTER HEALTH SERVICES Organization | Internal Medicine | 3630 WILLOWCREEK RD PORTAGE, IN 46368 (219) 759-5791 |
| 1952469538 | ASSOCIATED PEDIATRICIANS, LLC Organization | Specialist | 3630 WILLOWCREEK RD SUITE 6 PORTAGE, IN 46368 (219) 531-7492 |
| 1932145745 | RANGA R KOTA M.D. Individual | Internal Medicine (Gastroenterology) | 3630 WILLOWCREEK RD PORTAGE, IN 46368 (219) 759-5812 |
| 1891135620 | DR. KAJAL PATEL PURANIK M.D. Individual | Family Medicine | 3630 WILLOWCREEK RD PORTAGE, IN 46368 (219) 364-3700 |
| 1235546516 | REUEL YOUNG UY MD Individual | Internal Medicine | 3630 WILLOWCREEK RD PORTAGE, IN 46368 (219) 364-3616 |
| 1366961757 | MS. CRISTINA LUBASH FNP Individual | Nurse Practitioner (Family) | 3630 WILLOWCREEK RD PORTAGE, IN 46368 (219) 364-3700 |
| 1508411315 | CHAD ANTHONY BOGUE NP Individual | Nurse Practitioner (Family) | 3630 WILLOWCREEK RD PORTAGE, IN 46368 (219) 364-3700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063668614, enumerated in the NPI registry as an "organization" on August 14, 2008
The provider is located at 3630 Willowcreek Rd Portage, In 46368 and the phone number is (219) 759-5812
This medical organization specializes in Internal Medicine with taxonomy code 207RG0100X with a focus in Gastroenterology
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 14, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.