Medical Associates of Nwi LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

01065464A Issued in IN

Legal business name

MEDICAL ASSOCIATES OF NWI LLC

Doing business as

Manwi
Willowcreek Medical Center

Practice address

3156 Willowcreek Rd
Portage, IN 46368-4424

Phone

(219) 762-4999

NPI assigned

Jun 14, 2011

Last updated

Jun 18, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gaurav Kumar, MDNPI 1225219462

Title

Owner

Phone

(219) 762-4999

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 2

• MANWI Doing business as
• Willowcreek Medical Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: gaurav.kumar.1@7420.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/7420/brand/1/csg/1/fhir/r4

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gaurav Kumar, M.D.

  • Pulmonary Disease Physician
  • Portage, IN
  • NPI 1225219462

  Internal Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Ritika Singh, MD

  • Pulmonary Disease Physician
  • Portage, IN
  • NPI 1730677980

  Critical Care Medicine

  Medicare reassignment Care Compare group NPD
• Kajal B Patel, APRN

  • Adult Health Nurse Practitioner
  • Portage, IN
  • NPI 1124792551
  Medicare reassignment NPD (past)
• Jennifer Leigh Defauw

  • Nurse Practitioner
  • Portage, IN
  • NPI 1548982812
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1487949889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 VALPARAISO ST # 2001",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3156 WILLOWCREEK RD",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463684424",
            "telephone_number": "219-762-4999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2802 Leonard Dr",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463837136",
            "country_code": "US",
            "telephone_number": "219-462-4399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF NWI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-14",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "GAURAV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-762-4999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01065464A",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IN",
            "license": "01065464A",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01065464A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201030150A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gaurav.kumar.1@7420.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "athenahealth",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3156 Willowcreek Rd",
            "city": "Portage",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463684424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MANWI",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Willowcreek Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Lynn McBrayer, LCSW
• Ellen M McCue
• Jessica McElfresh
• Patricia McKie
• Kaley McLendon
• Austre Berta Medina
• Suzanne N Meeks, RN, MSN, FNP-C
• Shaun Sadruddin Mehdi, DO
• Meijer Stores Limited Partnership (Meijer Pharmacy #266)
• Melody Home Care Services LLC

• Pulmonary Disease Physician in Portage, IN
• Providers in Portage, IN by specialty
• Pulmonary Disease Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.