KOTA MEDICAL PC – Gastroenterology Physician, NPI 1063668614

KOTA MEDICAL PC is a healthcare provider. based in Portage, Indiana. specializing in Gastroenterology Physician. The organization holds a License No. 01038987 (IN). The NPI Number for KOTA MEDICAL PC is 1063668614

Main info

Organization
Name
KOTA MEDICAL PC
NPI
1063668614
Phone
(219) 759-5812
Address
3630 WILLOWCREEK RD
Authorized Official
RANGA RAO KOTA OWNER MD
Enumeration Date
14 August 2008
Last Update Date
28 March 2013
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:17State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for KOTA MEDICAL PC

  • Portage Hospital, 3630, Willowcreek Road, Portage, Porter County, Indiana, 46368, United States

    PORTAGE, IN 463685075

    Phone: (219) 759-5812

    Fax: (219) 759-5890

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46368)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to KOTA MEDICAL PC?
NPI 1063668614 is assigned to KOTA MEDICAL PC under the national enumeration system.
Is KOTA MEDICAL PC active in the national directory?
KOTA MEDICAL PC's public NPI profile is in an active state.
What does KOTA MEDICAL PC treat or focus on?
Patients typically see KOTA MEDICAL PC under the specialty Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What location shows for KOTA MEDICAL PC?
We surface Portage, Indiana for KOTA MEDICAL PC based on available NPPES addresses.
What if Portage, Indiana seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

Similar Providers

RANGA R KOTA (M.D.)

Gastroenterology Physician
3630 Willowcreek Rd Ste 4
NPI: 1932145745

RANGA KOTA MD, PC

Gastroenterology Physician
3630 WILLOWCREEK RD
NPI: 1124452628

TED GEORGE ODY JR. ACHUFUSI (MD)

Gastroenterology Physician
9410 CALUMET AVE STE 401
NPI: 1053809392