Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Willow Creek Medical LLC

Organization Internal Medicine Physician · NPI 1073660049

Willow Creek Medical LLC is an Internal Medicine Physician in Portage, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3156 Willowcreek Rd
Portage, IN 46368-4424
Phone: (219) 762-4999
Fax: (219) 762-2288
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 010133934B (IN)

Record details

NPI number1073660049
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashwani Kumar — President · (219) 762-4999
NPI enumeratedJanuary 4, 2007
Last updated in NPPESDecember 17, 2010
Mailing address3156 Willowcreek Rd, Portage, IN 46368-4424

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