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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: August 16, 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

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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AHMAD SPROUSE DC
Chiropractor
8145 KENNEDY AVE
HIGHLAND, IN 46322
Lake County (219) 803-6630
KENNEDY AVENUE CHIROPRACTIC
Chiropractor
8145 KENNEDY AVE
HIGHLAND, IN 46322
Lake County (219) 803-6630
ANDREA ZEPEDA MSN FNP-BC
Nurse Practitioner
8145 KENNEDY AVE
HIGHLAND, IN 46322
Lake County (219) 803-6651

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.

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.

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.