Individual provider Active NPI

Keva Swopes

  • Psychiatry Physician
  • Gary, IN
National Provider Identifier
1083257695
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
71009878A Issued in IN
Practice address
600 Grant St
Gary, IN 46402-6001
Phone
(219) 886-4740
NPI assigned
Oct 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28226263A IN
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 71009878A IN
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X 71009878A IN
General Practice Physician 208D00000X 71009878A IN
Psychiatry Physician 2084P0800X 71009878A IN Primary

Addresses

Primary practice location

600 Grant St
Gary, IN 46402-6001

Mailing address

8570 Polo Club Dr Apt U606
Merrillville, IN 46410-8843
Phone (219) 648-2075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, PA, IL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200710000650 IN Practitioner - Nurse Practitioner 7113340084 Reassigns benefits to 2 organizations
I20240411000481 PA Practitioner - Nurse Practitioner 7113340084 Reassigns benefits to 1 organization
I20240920001622 IL Practitioner - Nurse Practitioner 7113340084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Methodist Hospitals IncGroup PAC ID 9638063894, 131 clinicians

Practice addresses (Care Compare)

600 Grant St
Gary, IN 46402-6001
Phone (219) 381-0215

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.64 of 100Reported as group
Quality
56.64
Promoting interoperability
73
Improvement activities
40
Cost
76.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28226263AINMDRegistered Nurse
71009878AINMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fitness Clinic Wellness CurrentSince Sep 5, 2024 Accepting new patients
Aims, LLC Psychiatry CurrentSince May 22, 2020 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Apr 14, 2021 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Apr 14, 2021 Accepting new patients
Suburban Medical Group LLC CurrentSince Mar 3, 2024 Accepting new patients

Locations

27350 Network Pl
Chicago, IL 60673

20303 Crawford Ave
Ste 230
Olympia Flds, IL 60461
Phone (708) 679-1000

417 S Whitlock St
Bremen, IN 46506
Phone (574) 546-0330

9330 Broadway
Crown Point, IN 46307
Phone (219) 648-2400

6121 Cleveland St
Merrillville, IN 46410
Phone (219) 738-5985

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926

2701 DeKalb Pike
Fl 2
East Norriton, PA 19401
Phone (610) 275-1028

Organizations & group practices 5

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 1

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": "1572048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1083257695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8570 POLO CLUB DR APT U606",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464108843",
            "telephone_number": "219-648-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GRANT ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464026001",
            "telephone_number": "219-886-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWOPES",
        "first_name": "KEVA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-26",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28226263A",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "IN",
            "license": "71009878A",
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "IN",
            "license": "71009878A",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "71009878A",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "71009878A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gary, IN

Sources for this page

Verify at the official NPI Registry.