Individual provider Active NPI

Patricia D Logan, MD

  • Emergency Medicine Physician
  • Overland Park, KS
National Provider Identifier
1073597209
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
427084 Issued in KS
Practice address
5721 W 119TH St
Emergency Department
Overland Park, KS 66209-3722
Phone
(913) 469-1488
Fax
(913) 469-1441
NPI assigned
Dec 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 427084 KS Primary

Addresses

Primary practice location

5721 W 119TH St
Emergency Department
Overland Park, KS 66209-3722

Mailing address

PO Box 838
Shawnee Mission, KS 66201-0838
Phone (913) 469-1488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20051102000168 KS Practitioner - Emergency Medicine 3870545437 Reassigns benefits to 1 organization
I20240720000122 MO Practitioner - Emergency Medicine 3870545437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mep Kansas LLC 61 clinicians

Practice addresses (Care Compare)

12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000

Hospital & facility affiliations

  • Saint Luke'S South Hospital Hospital, Overland Park, KS, CCN 170185

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
93.94
Improvement activities
40
Cost
86.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
427084KSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VA Eastern Kansas Health Care System Emergency Medicine CurrentSince May 13, 2024 Accepting new patients
Mep Kansas LLC Emergency Medicine CurrentSince Jan 1, 2021 Accepting new patients
Sheridan Emergency Physician Services of Kansas, PA Emergency Medicine Past Accepting new patients
Nall Emergency Physicians, LLC Emergency Medicine Past Accepting new patients

Locations

10544 Parallel Pkwy
Kansas City, KS 66109
Phone (844) 285-1005

13200 State Line Rd
Shawnee Mission, KS 66209
Phone (913) 222-8380

12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000

4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107

5830 NW Barry Rd
Kansas City, MO 64154
Phone (816) 880-6441

100 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5097

Organizations & group practices 4

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1073597209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 838",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662010838",
            "telephone_number": "913-469-1488",
            "fax_number": "913-469-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 W 119TH ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093722",
            "telephone_number": "913-469-1488",
            "fax_number": "913-469-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "PATRICIA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "427084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.