Individual provider Active NPI

Benjamin Michael Coplan, D.O.

  • Child & Adolescent Psychiatry Physician
  • Greenwood, IN
National Provider Identifier
1033324181
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
02004184A Issued in IN
Practice address
3000 S State Road 135
Ste 230
Greenwood, IN 46143-9607
Phone
(317) 535-0728
Fax
(317) 535-0735
NPI assigned
May 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 02004184A IN Primary
Child & Adolescent Psychiatry Physician 2084P0804X 036122961 IL

Addresses

Primary practice location

3000 S State Road 135
Ste 230
Greenwood, IN 46143-9607

Mailing address

6626 E 75TH Street
Ste 500
Indianapolis, IN 46250-2890
Phone (317) 621-7561

Other identifiers 5

IdentifierTypeStateIssuer
266180956OtherINMEDICARE PIN
000000930209OtherINANTHEM HOWARD
000000847585OtherINANTHEM BCBS
000000826421OtherINANTHEM BCBS
000000829666OtherINANTHEM BCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bcoplan69164@eCommunityDirect.com Community Health Network, Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130826001065 IN Practitioner - PsychiatryPractitioner - Osteopathic Manipulative Medicine 4789734153 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Osteopathic Manipulative Medicine
Education
Philadelphia College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians
Community Health Network IncGroup PAC ID 1850203977, 95 clinicians

Practice addresses (Care Compare)

3500 S Lafountain St
Kokomo, IN 46902-3803
Phone (765) 453-8571

3504 S Lafountain St
Kokomo, IN 46902-3803
Phone (765) 453-8600

3506 S Lafountain St
Kokomo, IN 46902-3803
Phone (765) 865-6700

3508 S Lafountain St
Kokomo, IN 46902-3803
Phone (765) 776-5704

3510 S Lafountain St
Kokomo, IN 46902-3803
Phone (765) 864-8765

3512 S Lafountain St
Kokomo, IN 46902-3803
Phone (765) 865-6633

3548 S Lafountain St
Kokomo, IN 46902-3803
Phone (765) 773-8403

6950 Hillsdale CT
Indianapolis, IN 46250-2040
Phone (317) 621-7740

7120 Clearvista Dr
Suite 4000
Indianapolis, IN 46256-1774
Phone (317) 621-7444

7165 Clearvista Way
Indianapolis, IN 46256-4621
Phone (317) 621-5100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Network, Inc Current Accepting new patients
Community Howard Regional Health Inc CurrentSince Apr 19, 2015 Accepting new patients
Community Health Network, Inc CurrentSince Nov 1, 2013 Accepting new patients
Community Physicians of Indiana Inc CurrentSince May 8, 2017 Accepting new patients
Community Physicians of Indiana Inc CurrentSince May 8, 2017 Accepting new patients
Community Health Network, Inc. Past Accepting new patients
Major Hospital Past Accepting new patients
Community Health Network, Inc Past Accepting new patients
Conventions Psychiatry & Counseling, P.C. Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

205 N Jackson St
Frankfort, IN 46041
Phone (765) 659-4771

3000 S State Road 135
Ste 230
Greenwood, IN 46143
Phone (317) 535-0728

6950 Hillsdale Ct
Indianapolis, IN 46250
Phone (317) 621-7533

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

1340 E County Line Rd
Ste O
Indianapolis, IN 46227
Phone (317) 497-6290

3500 S Lafountain St
Kokomo, IN 46902
Phone (765) 453-0702

322 N Main St
Kokomo, IN 46901
Phone (765) 453-8238

Interoperability endpoints

  • Direct secure messaging: bcoplan69164@ecommunitydirect.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1033324181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH STREET",
            "address_2": "STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890",
            "telephone_number": "317-621-7561",
            "fax_number": "317-355-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 S STATE ROAD 135",
            "address_2": "STE 230",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461439607",
            "telephone_number": "317-535-0728",
            "fax_number": "317-535-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPLAN",
        "first_name": "BENJAMIN",
        "middle_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IN",
            "license": "02004184A",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": "036122961",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "266180956",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM HOWARD",
            "identifier": "000000930209",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000847585",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000826421",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000829666",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bcoplan69164@eCommunityDirect.com",
            "affiliation": "Y",
            "affiliationName": "Community Health Network, Inc",
            "address_1": "6950 Hillsdale Ct",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462502040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.