Active NPI
Patricia D Logan, MD
- Emergency Medicine Physician
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 427084
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000
Hospital & facility affiliations
- Saint Luke'S South Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.67 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 427084 | KS | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VA Eastern Kansas Health Care System | Emergency Medicine | Current | Accepting new patients |
| Mep Kansas LLC | Emergency Medicine | Current | 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.
-
- Emergency Medicine Physician
- Leavenworth, KS
- NPI 1255432951
Emergency Medicine, MO
-
- Emergency Medicine Physician
- Overland Park, KS
- NPI 1225382401
Emergency Medicine
-
- Emergency Medicine Physician
- Kansas City, KS
- NPI 1790155158
Emergency Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1154303337
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.