WILLOWCREEK MEDICAL CENTER – NPI #1487949889
Internal Medicine

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.

WILLOWCREEK MEDICAL CENTER is a provider located in PORTAGE, IN. NPPES has assigned the NPI number 1487949889 to WILLOWCREEK MEDICAL CENTER on June 14, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WILLOWCREEK MEDICAL CENTER” is a dba name, the actual legal business name for this organization is MEDICAL ASSOCIATES OF NWI LLC. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RP1001X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Pulmonary Disease

The NPI profile was previously updated about 6 years ago on May 28, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WILLOWCREEK MEDICAL CENTER below.

NPI Profile for
MEDICAL ASSOCIATES OF NWI LLC

NPI Number
1487949889
Enumeration Date

(about 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MEDICAL ASSOCIATES OF NWI LLC
Doing Business As (dba): WILLOWCREEK MEDICAL CENTER
Other name(s)
All associated names:
Doing Business As (dba)
MANWI
Doing Business As (dba)
Willowcreek Medical Center
Primary location
3156 WILLOWCREEK RD
PORTAGE, IN 46368-4424
Phone: (219) 762-4999 Fax:
1 Other location(s):
1600 S Lake Park Ave
Hobart, IN 46342-6641
Phone: (219) 762-9444
Mailing address
2700 VALPARAISO ST # 2001
VALPARAISO, IN 46383-3123
Phone: Fax:
Organization Subpart
No
Authorized Official
GAURAV KUMAR
OWNER
Phone: (219) 762-4999
Updated
Certification Date
May 28, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for WILLOWCREEK MEDICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIN201030150A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RP1001X
- Internal Medicine / Pulmonary Disease (Primary)
IN 01065464A
207RC0200X
- Internal Medicine / Critical Care Medicine
IN 01065464A
207R00000X
- Internal Medicine
IN 01065464A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
ATHENAHEALTH
Content Type
CSV
Affiliation
N
Endpoint Location
3156 WILLOWCREEK RD,
PORTAGE, IN 77025-1669