Active NPI
Matthew James Logan, MD
- Family Medicine Physician
- Stillwater, MN
National Provider Identifier
1033213228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 48685
- Practice address
- 270 Main St N
Ste 300
Stillwater, MN 55082-6788 - Phone
- (651) 342-1039
- NPI assigned
- Sep 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 55326 | WI | |
| Family Medicine Physician | 207Q00000X | 48685 | MN | Primary |
Addresses
Primary practice location
270 Main St N
Ste 300
Stillwater, MN 55082-6788
Mailing address
270 Main St N Ste 300
Stillwater, MN 55082-6788
Phone (651) 342-1039
Other practice location 1
342 N Water St Ste 600
Milwaukee, WI 53202-5715
Phone (651) 342-1039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Minnesota Medical School, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
270 Main St N
Suite 300
Stillwater, MN 55082-6788
Phone (651) 342-1039
342 N Water St
Suite 600
Milwaukee, WI 53202-5715
Phone (651) 342-1039
Hospital & facility affiliations
- Interim Healthcare of the Twin Cities
- Centerwell Home Health
- Lifespark Home Health
- Accurate Home Care
- St Croix Hospice
- Suite Living Hospice, LLC
- St Croix Hospice
- Brighton Hospice
- Lakeview Hospice
- M Health Fairview University of MN Medical Center
- Abbott Northwestern Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55326 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluestone Physician Services Wisconsin SC | Family Medicine | Current | Accepting new patients |
Locations
270 Main St N
Ste 300
Stillwater, MN 55082
Phone (651) 342-1039
342 N Water St
Ste 600
Milwaukee, WI 53202
Phone (414) 296-6189
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Milwaukee, WI
- NPI 1922497908
-
- Family Medicine Physician
- Stillwater, MN
- NPI 1578595971
Hospital & facility affiliations 35
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Otsego, MN
- NPI 1689723207
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777852800000",
"number": "1033213228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 MAIN ST N STE 300",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550826788",
"telephone_number": "651-342-1039",
"fax_number": "651-342-1428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 MAIN ST N",
"address_2": "STE 300",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550826788",
"telephone_number": "651-342-1039"
}
],
"practiceLocations": [
{
"address_1": "342 N Water St Ste 600",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532025715",
"country_code": "US",
"telephone_number": "651-342-1039",
"fax_number": "651-342-1428",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOGAN",
"first_name": "MATTHEW",
"middle_name": "JAMES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-11",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "55326",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "48685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stillwater, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.