Individual provider Active NPI

Nesreen Suwan, MD

  • Neurology Physician
  • Lisle, IL
National Provider Identifier
1821095936
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036-099630 Issued in IL
Practice address
2867 Ogden Ave
Lisle, IL 60532-1634
Phone
(630) 420-8080
Fax
(630) 778-9090
NPI assigned
Jul 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 036-099630 IL Primary

Addresses

Primary practice location

2867 Ogden Ave
Lisle, IL 60532-1634

Mailing address

2867 Ogden Ave
Lisle, IL 60532-1634
Phone (630) 420-8080

Other identifiers 1

IdentifierTypeStateIssuer
036099630MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050602000219 IL Practitioner - NeurologyPractitioner - Interventional Pain Management 1557303484 Reassigns benefits to 1 organization
I20190606002390 IN Practitioner - Neurology 1557303484 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Interventional Pain Management
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Methodist Hospitals IncGroup PAC ID 9638063894, 131 clinicians

Practice addresses (Care Compare)

2867 Ogden Ave
Lisle, IL 60532-1634
Phone (630) 420-8080

521 E 86TH Ave
Suite Z
Merrillville, IN 46410-6236
Phone (219) 769-0777

Hospital & facility affiliations

  • Methodist Hospitals Inc Hospital, Gary, IN, CCN 150002

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-099630ILMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Methodist Hospitals, Inc Neurology CurrentSince Jan 1, 2024 Accepting new patients
Centers for Neurological Diseases, PC Neurology CurrentSince Dec 1, 2020 Accepting new patients
The Methodist Hospitals, Inc Current Accepting new patients
University Anesthesiologists SC Anesthesiology Past Accepting new patients

Locations

27350 Network Pl
Chicago, IL 60673

10260 191st St
Ste 100
Mokena, IL 60448
Phone (708) 425-1907

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

200 E 80th Pl
Ste 2
Merrillville, IN 46410
Phone (219) 472-0379

521 E 86th Ave
Ste Z
Merrillville, IN 46410
Phone (219) 769-0777

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

Interoperability endpoints

  • Direct secure messaging: nsuwan@cnd.gwaydirect.com

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1821095936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2867 OGDEN AVE",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321634",
            "telephone_number": "630-420-8080",
            "fax_number": "630-778-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2867 OGDEN AVE",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321634",
            "telephone_number": "630-420-8080",
            "fax_number": "630-778-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUWAN",
        "first_name": "NESREEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036-099630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036099630",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

Verify at the official NPI Registry.