1. Home
  2. Directory
  3. Indiana
  4. Highland
  5. General Practice
  6. NPI Profile

KENNEDY AVE CHIROPRACTIC
NPI 1407404569
General Practice in Highland, IN

Active since August 30, 2019CLIA 15D2213427 · Waiver
8145 KENNEDY AVE, HIGHLAND, IN 46322(219) 803-6630(219) 937-7237 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 1, 2022, Aug 30, 2019 (2 updates tracked since 2019).

About Kennedy Ave Chiropractic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNEDY AVE CHIROPRACTIC (NPI 1407404569) is a healthcare organization registered as a general practice in Highland, Indiana and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through February 11, 2027 and lists Ahmad Sprouse, Owner, as its authorized official.

NPPES Registry Identity

NPI1407404569
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameINTEGRATED BODY AND MEDICINE, PC
Location Address8145 KENNEDY AVEHighland, IN 46322-1128
Mailing Address8145 Kennedy AveHighland, IN 46322-1128 · (219) 803-6630 · Fax (219) 937-7237
Phone(219) 803-6630
Fax(219) 937-7237
Organization SubpartNo
Authorized OfficialAhmad SprouseOwner · (219) 803-6630
Enumeration DateAugust 30, 2019
Last NPPES UpdateMarch 1, 20222 updates tracked since enumeration
NPPES CertifiedMarch 1, 2022
✔ NPI 1407404569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
8145 KENNEDY AVE, Highland, IN 46322
Open in Google Maps ↗

Other Names 1

Other NameKennedy Ave Chiropractic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kennedy Ave Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Kennedy Ave Chiropractic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Ahmad Sprouse, DC
Chiropractic
NPI 1205293800
8145 KENNEDY AVE
Highland, IN 46322
(219) 803-6630
✔ Accepts MedicareSame address
Andrea Zepeda, MSN FNP-BC
Nurse Practitioner
NPI 1881388205
8145 KENNEDY AVE
Highland, IN 46322
(219) 803-6651
✔ PECOS✔ Accepts MedicareSame address
Shondra Godlock, FNP
Nurse Practitioner
NPI 1801612411
901 MACARTHUR BLVD
Munster, IN 46321
(219) 703-1991
✔ PECOS✔ Accepts Medicare2.6 mi
Akshata Torgal, D.P.T.
Physical Therapist in Private Practice
NPI 1942456678
5620 SOHL AVE
Hammond, IN 46320
(317) 204-3736
✔ Accepts Medicare4.2 mi
Nicole Fornari, FNP-C
Nurse Practitioner
NPI 1265997332
1101 GLENDALE BLVD STE 103
Valparaiso, IN 46383
(219) 510-8888
✔ PECOS22 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2213427

Integrated Body And Medicine, PC · Highland, IN
Active · expires Feb 11, 2027
CLIA Number15D2213427
Laboratory TypePhysician Office
Certificate Effective DateFebruary 12, 2025
Certificate Expiration DateFebruary 11, 2027
Laboratory DirectorAhmad Sprouse
Laboratory Phone(218) 803-6630
Laboratory LocationIntegrated Body And Medicine, PC8145 Kennedy Avenue, Highland, IN 46322
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 9

Medicare supplier enrollment and the product categories Integrated Body And Medicine, PC carries, from the Medicare DMEPOS supplier directory.

Integrated Body And Medicine, PC

DMEPOS supplier · Highland, IN
✔

Accepts Medicare assignment

Integrated Body And Medicine, PC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20406641
Medicare Participant SinceMarch 31, 2021
Supplier Location8145 Kennedy AveHighland, IN 46322
Phone(219) 803-6630
Supplier Specialties
MSC With Orthotic Personnel

Medicare Product Categories

Contracture Treatment Devices: Dynamic Splint
Dynamic splinting devices for the knee, elbow, wrist, finger, or toe
Heat & Cold Applications
Heat therapy, Cold therapy, Heating pads
Neuromuscular Elect Stimulators (NMES)/Supplies
Electrodes, lead wires, adhesive tape
Osteogenesis Stimulators
Non-spinal electrical osteogenesis stimulators, Spinal electrical osteogenesis stimulators, Ultrasonic osteogenesis stimulators
Traction Equipment
Traction tables, Traction machines, Inversion tables
(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies
Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integrated Body And Medicine, PC's NPI number?

The NPI number for Integrated Body And Medicine, PC is 1407404569. It was assigned to this organization in the NPPES registry on August 30, 2019. The provider is also known as Kennedy Ave Chiropractic.

Where is Integrated Body And Medicine, PC located?

Integrated Body And Medicine, PC is located at 8145 Kennedy Ave, Highland, IN 46322. The listed phone number is (219) 803-6630.

What is Integrated Body And Medicine, PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Integrated Body And Medicine, PC enrolled in Medicare?

Yes. Integrated Body And Medicine, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrated Body And Medicine, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Integrated Body And Medicine, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3), Chiropractic (1) and Physical Therapist in Private Practice (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Integrated Body And Medicine, PC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Integrated Body And Medicine, PC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Integrated Body And Medicine, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2213427) is associated with this NPI, valid through February 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Integrated Body And Medicine, PC accept?

Health plans from Anthem Blue Cross and Blue Shield and Cigna Healthcare list Integrated Body And Medicine, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Integrated Body And Medicine, PC was last updated on March 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.