Organization provider

PORTAGE INTERNAL MEDICINE ASSOCIATES LLC

Geriatric Medicine (Internal Medicine) Physician Medicare enrolled

PORTAGE INTERNAL MEDICINE ASSOCIATES LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1083809784, based in Kent, OH. It is classified under Geriatric Medicine (Internal Medicine) Physician.

Getting there

The practice address on file is 503 OVERLOOK DR, Kent, OH 44240. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

503 OVERLOOK DR, Kent, OH 44240 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
34006535 OH Geriatric Medicine (Internal Medicine)… primary

This provider holds licence 34006535 issued in OH. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
1153419189

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Geriatric Medicine covers

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. NUCC Health Care Provider Taxonomy, code 207RG0300X
Allopathic & Osteopathic Physicians Internal Medicine Geriatric Medicine

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1083809784 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateSep 6, 2007
Last updatedDec 20, 2023
StatusActive
Practice address 503 OVERLOOK DR
Kent, OH 44240
(330) 645-6463
Fax (330) 645-6462
Mailing address PO BOX 45519
Westlake, OH 44145
Other identifiers 2192863 (OH)
DO7407 · RAILROAD CARE (OH)
This record was updated on Dec 20, 2023, which is recent enough that the contact details are likely still accurate.

Number check

1083809784 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 8 3 8 0 9 7 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 7 3 7 0 9 7 7

Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1083809784?
NPI 1083809784 is the National Provider Identifier assigned to PORTAGE INTERNAL MEDICINE ASSOCIATES LLC in Kent, OH. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Geriatric Medicine cover?
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
How do I contact PORTAGE INTERNAL MEDICINE ASSOCIATES LLC?
The phone number on file with NPPES is (330) 645-6463, last updated Dec 20, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does PORTAGE INTERNAL MEDICINE ASSOCIATES LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1083809784 a valid number?
Yes. 1083809784 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.