Individual provider Active NPI

Logan Paolo Locsin Felix, M.D.

  • Infectious Disease Physician
  • Tucson, AZ
National Provider Identifier
1194038505
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
56782 Issued in AZ
Practice address
2300 S Houghton Rd Ste 250
Tucson, AZ 85748-0002
Phone
(520) 231-4379
Fax
(520) 677-4379
NPI assigned
Jul 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME122624 FL
Infectious Disease Physician 207RI0200X 56782 AZ Primary

Addresses

Primary practice location

2300 S Houghton Rd Ste 250
Tucson, AZ 85748-0002

Mailing address

2300 S Houghton Rd Ste 250
Tucson, AZ 85748-0002
Phone (520) 231-4379

Other practice location 1

2001 W Orange Grove Rd Ste 404
Tucson, AZ 85704
Phone (520) 989-0226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20181119003326 AZ Practitioner - Infectious DiseasePractitioner - Internal Medicine 2668773771 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
69.75
Promoting interoperability
98
Improvement activities
40
Cost
68.18

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as apm
Quality
74.56
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56782AZMDInfectious Disease Physician
ME122624FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease of Arizona PLLC Infectious Disease CurrentSince Dec 1, 2018 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Apr 26, 2021 Accepting new patients
Banner-University Medical Group CurrentSince Jan 2, 2024 Accepting new patients
Banner-University Medical Group Internal Medicine Current Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Apr 26, 2021 Accepting new patients
Banner-University Medical Group CurrentSince Jan 2, 2024 Accepting new patients
Suzanne Y Succop MD PA Infectious Disease Past Accepting new patients
Michigan State University Kalamazoo Center for Medical Studies Past Accepting new patients

Locations

1441 N 12th St
Ste 3
Phoenix, AZ 85006

1441 N 12th St
Fl 3
Phoenix, AZ 85006
Phone (602) 521-5700

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

1300 N 12th St
Ste 600
Phoenix, AZ 85006
Phone (602) 252-3699

1441 N 12th St
Fl 23
Phoenix, AZ 85006
Phone (602) 521-5150

1625 N Campbell Ave
Tucson, AZ 85719

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

2800 E Ajo Way
Bldg 100
Tucson, AZ 85713
Phone (520) 419-5820

2001 W Orange Grove Rd
Ste 404
Tucson, AZ 85704
Phone (520) 318-9681

5230 E Farness Dr
Ste 100
Tucson, AZ 85712
Phone (520) 318-9681

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1194038505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 S HOUGHTON RD STE 250",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857480002",
            "telephone_number": "520-231-4379",
            "fax_number": "520-677-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S HOUGHTON RD STE 250",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857480002",
            "telephone_number": "520-231-4379",
            "fax_number": "520-677-4379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 W Orange Grove Rd Ste 404",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "85704",
            "country_code": "US",
            "telephone_number": "520-989-0226",
            "fax_number": "520-989-3798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELIX",
        "first_name": "LOGAN PAOLO",
        "middle_name": "LOCSIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-15",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME122624",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AZ",
            "license": "56782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.