NPIMap

Individual provider Active NPI

Timothy N Logemann, MD

  • Cardiovascular Disease Physician
  • Wausau, WI
National Provider Identifier
1184626053
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
30236 Issued in WI
Practice address
500 Wind Ridge Dr
Wausau, WI 54401-4173
Phone
(715) 847-2611
Fax
(715) 847-2465
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 30236 WI Primary

Addresses

Primary practice location

500 Wind Ridge Dr
Wausau, WI 54401-4173

Mailing address

500 Wind Ridge Dr
Wausau, WI 54401-4173
Phone (715) 847-2611

Other identifiers 1

IdentifierTypeStateIssuer
31561800MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050706000159 WI Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 2163320441 Reassigns benefits to 3 organizations
I20100306000043 MI Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2163320441 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
University of Wisconsin School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Medical Group, Inc.Group PAC ID 1052223625, 272 clinicians

Practice addresses (Care Compare)

205 Osceola St
Laurium, MI 49913-2134
Phone (715) 847-2000

4005 Community Ctr Dr
Weston, WI 54476-4139
Phone (715) 241-5400

500 Wind Ridge Dr
Wausau, WI 54401-4173
Phone (715) 847-2611

N10561 Grandview LN
Ironwood, MI 49938-9622

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.53 of 100Reported as group
Quality
77.62
Promoting interoperability
100
Improvement activities
40
Cost
78.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30236WIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Medical Group, Inc. Current Accepting new patients
Aspirus Keweenaw CurrentSince Aug 15, 2023 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Jan 1, 2011 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Aspirus Keweenaw CurrentSince Aug 15, 2023 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Jan 1, 2011 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Keweenaw Current Accepting new patients
Major Hospital Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100

501 Aurora St
Antigo, WI 54409
Phone (715) 623-2331

135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100

6951 S Michigan St
Three Lakes, WI 54562
Phone (715) 546-2543

520 N 28th Ave
Wausau, WI 54401
Phone (715) 843-1058

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

500 Wind Ridge Dr
Wausau, WI 54401

2720 Plaza Dr
Ste 1400A
Wausau, WI 54401
Phone (715) 847-0426

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

2031 Peach St
Wisconsin Rapids, WI 54494
Phone (715) 423-0122

Interoperability endpoints

  • Direct secure messaging: tlogemann14516@direct.aspirus.org

Organizations & group practices 12

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1184626053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WIND RIDGE DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014173",
            "telephone_number": "715-847-2611",
            "fax_number": "715-847-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WIND RIDGE DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014173",
            "telephone_number": "715-847-2611",
            "fax_number": "715-847-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGEMANN",
        "first_name": "TIMOTHY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "30236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31561800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.