Portage Internal Medicine Associates LLC
NPI 1083809784 · Geriatric Medicine (Internal Medicine) Physician · Kent, OH
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Portage Internal Medicine Associates LLC is a Geriatric Medicine (Internal Medicine) Physician organization in Kent, OH (NPI 1083809784).
Provider details
- NPI number
- 1083809784
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dean Deperro, Physican(330) 346-0800
- License
- 34006535 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-09-06
- Last updated
- 2023-12-20
- Certified
- 2023-12-20
Frequently asked questions
- What is Portage Internal Medicine Associates LLC's NPI number?
- Portage Internal Medicine Associates LLC's National Provider Identifier (NPI) is 1083809784, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Portage Internal Medicine Associates LLC?
- Portage Internal Medicine Associates LLC is classified in the NPPES registry as Geriatric Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Portage Internal Medicine Associates LLC located?
- Portage Internal Medicine Associates LLC's practice location on file with NPPES is 503 Overlook Dr, Kent, OH 44240-5824.
- What is Portage Internal Medicine Associates LLC's phone number?
- The practice phone number listed in the NPPES registry for Portage Internal Medicine Associates LLC is (330) 645-6463.
- Does Portage Internal Medicine Associates LLC accept Medicare?
- Portage Internal Medicine Associates LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Portage Internal Medicine Associates LLC?
- The authorized official listed on Portage Internal Medicine Associates LLC's NPPES record is Dean Deperro, Physican. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Portage Internal Medicine Associates LLC's NPI active?
- Yes — Portage Internal Medicine Associates LLC's NPI (1083809784) is active in the NPPES registry as of the last update on 2023-12-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.