Active NPI
Ryan Logue
- Pulmonary Disease Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 01087732A
- Practice address
- 8040 Clearvista Pkwy Ste 440
Indianapolis, IN 46256-4673 - Phone
- (317) 621-5510
- NPI assigned
- Apr 1, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | WI | ||
| Pulmonary Disease Physician | 207RP1001X | 01087732A | IN | Primary |
Addresses
Primary practice location
8040 Clearvista Pkwy Ste 440
Indianapolis, IN 46256-4673
Mailing address
6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Phone (317) 621-7547
Other practice location 1
1020 N 12th St
Milwaukee, WI 53233-1308
Phone (260) 704-8171
Other practice location 2
1210 Medical Arts Blvd Ste 314
Anderson, IN 46011-3439
Phone (765) 776-3600
Other practice location 3
3504 S LaFountain St
Kokomo, IN 46902-3803
Phone (765) 776-3600
Other practice location 4
7250 Clearvista Dr Ste 355
Indianapolis, IN 46256-5609
Phone (317) 621-5676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q00369282 | Other | IN | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7250 Clearvista Dr
Suite 355
Indianapolis, IN 46256-5609
Phone (317) 621-5676
Hospital & facility affiliations
- Community Hospital North
- Community Hospital East
- Community Hospital of Anderson and Madison County
- Indiana University Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01087732A | IN | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
8040 Clearvista Pkwy
Ste 440
Indianapolis, IN 46256
Phone (317) 497-6024
7250 Clearvista Dr
Ste 355
Indianapolis, IN 46256
Phone (317) 621-5673
3504 S Lafountain St
Kokomo, IN 46902
Phone (765) 453-8439
Interoperability endpoints
- rlogue526075@ecommunitydirect.com
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
- Indianapolis, IN
- NPI 1619105244
-
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1336119478
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1619163854
-
- General Acute Care Hospital
- Anderson, IN
- NPI 1972500452
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1093178477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH ST STE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502890",
"telephone_number": "317-621-7547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8040 CLEARVISTA PKWY STE 440",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462564673",
"telephone_number": "317-621-5510"
}
],
"practiceLocations": [
{
"address_1": "1020 N 12th St",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532331308",
"country_code": "US",
"telephone_number": "260-704-8171",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1210 Medical Arts Blvd Ste 314",
"address_purpose": "LOCATION",
"city": "Anderson",
"state": "IN",
"postal_code": "460113439",
"country_code": "US",
"telephone_number": "765-776-3600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3504 S LaFountain St",
"address_purpose": "LOCATION",
"city": "Kokomo",
"state": "IN",
"postal_code": "469023803",
"country_code": "US",
"telephone_number": "765-776-3600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7250 Clearvista Dr Ste 355",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462565609",
"country_code": "US",
"telephone_number": "317-621-5676",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOGUE",
"first_name": "RYAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-01",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WI",
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IN",
"license": "01087732A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "Q00369282",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.