RANGA KOTA MD, PC (NPI# 1124452628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124452628 |
| Entity Type | Organization |
| Organization Name | RANGA KOTA MD, PC |
| Practice Address |
3630 Willowcreek Rd Portage IN 46368-5075 |
| Practice Telephone | 2197595812 |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2013-09-03 |
| Authorized Official Name | SUZI SINDE (CREDENTIALING SPECIALIST, CDS) |
| Authorized Official Telephone | 2197691670 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
01038987 | IN | Allopathic & Osteopathic Physicians |
| Street Address |
3630 WILLOWCREEK RD |
| City | PORTAGE |
| State | IN |
| Zip Code | 46368-5075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720074701 | Muhammad Q. Choudry | Emergency Medicine | 3630 Willowcreek Rd, Portage, IN 46368-5075 | 2005-09-23 |
| 1396383881 | Jed Leifson | Registered Nurse | 3630 Willowcreek Rd, Portage, IN 46368-5075 | 2019-12-15 |
| 1508411315 | Chad Anthony Bogue | Nurse Practitioner | 3630 Willowcreek Rd, Portage, IN 46368-5075 | 2019-08-08 |
| 1366961757 | Cristina Lubash | Nurse Practitioner | 3630 Willowcreek Rd, Portage, IN 46368-5075 | 2017-09-17 |
| 1114468501 | Victoria Anne Pyke | Nurse Practitioner | 3630 Willowcreek Rd, Portage, IN 46368 | 2017-03-17 |
| 1336519685 | Heather Bolan | Speech-Language Pathologist | 3630 Willowcreek Rd, Portage, IN 46368-5075 | 2015-09-29 |
| 1346616646 | Porter Group Services, LLC | Hospitalist | 3630 Willowcreek Rd, Portage, IN 46368-5075 | 2015-08-20 |
| 1033507538 | Atlantic Silverside Emergency Physicians LLC | Physician Assistant | 3630 Willowcreek Rd, Portage, IN 46368-5075 | 2015-01-06 |
| 1235546516 | Reuel Young Uy | Internal Medicine | 3630 Willowcreek Rd, Portage, IN 46368-5075 | 2014-07-17 |
| 1891135620 | Kajal Patel Puranik | Family Medicine | 3630 Willowcreek Rd, Portage, IN 46368-5075 | 2013-06-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041121 | Latresa Renee Sims | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1777 Armstrong St. Suite C., Portage, IN 46368 | 2020-10-22 |
| 1831576693 | Bishara Robert Khoury | Family Medicine | 3545 Arbor Blvd Ste E, Portage, IN 46368 | 2015-04-30 |
| 1962813535 | Diane Farrington | Pharmacist | 6050 Us Hwy 6, Portage, IN 46368 | 2014-05-16 |
| 1588827562 | Jennifer Ann Rumpel | Allergy & Immunology | 6375 Us Highway 6 Ste C, Portage, IN 46368 | 2008-07-09 |
| 1588822688 | Total Renal Care Inc | Clinic/Center | 5823 Us Highway 6, Portage, IN 46368 | 2008-05-27 |
| 1235321480 | Michael Wendahl | Physical Therapist | 3691 Willowcreek Road, Suite 100, Portage, IN 46368 | 2007-08-13 |
| 1679663603 | Stephen V Headley | Family Medicine | 3283 Willowcreek Rd, Portage, IN 46368 | 2006-10-13 |
| 1730276486 | Robert Tan Ang | Psychiatry & Neurology | 3156 Willowcreek Road, Portage, IN 46368 | 2006-10-06 |
| 1013029883 | Primary Care PC | Family Medicine | 3125 Willowcreek Road, Portage, IN 46368 | 2006-08-31 |
| 1104936962 | Margaret Eileen Griffith | Dentist | 2646 Lois Street, Portage, IN 46368 | 2006-08-30 |
| Find all providers in zip 46368 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912962838 | Thomas Paul Gushurst | Internal Medicine | 3304 Cooley Ct, Portage, MI 49024-7340 | 2006-04-20 |
| 1497710396 | Robert Dale Brouwer | Internal Medicine | 3304 Cooley Court, Portage, MI 49024 | 2006-04-20 |
| 1790051886 | Evan Thomas Tiderington | Internal Medicine | 3304 Cooley Ct, Portage, MI 49024-7430 | 2012-03-22 |
| 1295982031 | Chethana Kanaparthi | Internal Medicine | 3304 Cooley Ct, Portage, MI 49024-7430 | 2008-08-23 |
| 1851569958 | Digestive Health Associates of Southwest Michigan, P.C. | Internal Medicine | 3304 Cooley Ct, Portage, MI 49024-7430 | 2008-02-12 |
| 1932145745 | Ranga R Kota | Internal Medicine | 3630 Willowcreek Rd, Portage, IN 46368-5075 | 2006-06-21 |
| 1790740603 | William Watson Webb | Internal Medicine | 3304 Cooley Court, Portage, MI 49024 | 2006-04-20 |
| 1679538581 | Heidi S Gjersoe | Internal Medicine | 3304 Cooley Ct, Portage, MI 49024-7430 | 2006-04-20 |
| 1013972926 | William Francis Hanavan | Internal Medicine | 3304 Cooley Ct, Portage, MI 49024-7430 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710486295 | Gastro Md, LLC | Internal Medicine | 625 Richland Way, Westfield, IN 46074-9054 | 2018-02-09 |
| 1790137115 | Abdinoor Medical LLC | Internal Medicine | 1819 Braemar Dr, Fort Wayne, IN 46814-9364 | 2016-07-09 |
| 1538578018 | Shail Sheth | Internal Medicine | 3903 S 7th St Ste 2f, Terre Haute, IN 47802-5710 | 2014-08-08 |
| 1992113245 | Unity Healthcare, LLC | Internal Medicine | 1345 Unity Pl Ste 110, Lafayette, IN 47905-5768 | 2014-07-31 |
| 1265773113 | Michael Sai Lai Sey | Internal Medicine | 550 N. University Blvd, Suite 4100, Indiana University Hospital, Indianapolis, IN 46202 | 2013-03-01 |
| 1649531062 | Kavish Rohit Patidar | Internal Medicine | 702 Rotary Cir Ste 225, Indianapolis, IN 46202-5133 | 2012-06-01 |
| 1265726673 | Digestive Healthcare Specialists LLC | Internal Medicine | 8865 W 400 N Ste 155, Michigan City, IN 46360-9010 | 2011-06-02 |
| 1033442991 | Dana Charles Moffatt | Internal Medicine | 359 N West St, Apt 284, Indianapolis, IN 46202-4207 | 2009-09-10 |
| 1134356173 | Robert G. Overstreet | Internal Medicine | 348 Bohart Ln, Charlestown, IN 47111-1606 | 2009-06-17 |
| 1003057993 | John Charles Lowe Sr. | Internal Medicine | 10912 300 Yard Dr, Fishers, IN 46037-9306 | 2009-03-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.