Active NPI
Michael James Logsdon, DO
- Family Medicine Physician
- Rensselaer, NY
National Provider Identifier
1669855235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 295656
- Practice address
- 2 Empire Dr Ste 100
Rensselaer, NY 12144-5730 - Phone
- (518) 286-4899
- Fax
- (518) 286-4859
- NPI assigned
- Jul 1, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 295656 | NY | Primary |
Addresses
Primary practice location
2 Empire Dr Ste 100
Rensselaer, NY 12144-5730
Mailing address
PO Box 14890
Albany, NY 12212-4890
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | payer.credentialing@sphp.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180927002039 | NY | Practitioner - Family Practice | 3072864271 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| Samaritan Hospital of Troy, New York | Family Medicine | Current | Accepting new patients |
Locations
2 Empire Dr
Ste 100
Rensselaer, NY 12144
Phone (518) 286-4899
2 Empire Dr
Ste 101
Rensselaer, NY 12144
Phone (518) 286-4960
500 Island Cottage Rd
Rochester, NY 14612
Phone (585) 368-6000
1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289
2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300
Interoperability endpoints
- mlogsdon2917055@direct.trinity-health.org
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.
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
Family Medicine, NY
-
- Psychiatric Hospital Unit
- Troy, NY
- NPI 1861437832
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1457395766
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Troy, NY
- NPI 1114967924
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Samaritan Hospital of Troy, New York
Practice addresses (Care Compare)
2 Empire Dr
Suite 101
Rensselaer, NY 12144-5730
Phone (518) 268-4960
Hospital & facility affiliations
- Eddy Visiting Nurse & Rehab Association
- Community Hospice, Inc, the
- Samaritan Hospital of Troy, New York
- St Peter'S Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1669855235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14890",
"city": "ALBANY",
"state": "NY",
"postal_code": "122124890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 EMPIRE DR STE 100",
"city": "RENSSELAER",
"state": "NY",
"postal_code": "121445730",
"telephone_number": "518-286-4899",
"fax_number": "518-286-4859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGSDON",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-01",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "295656",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "payer.credentialing@sphp.com",
"affiliation": "N",
"endpointDescription": "SPHP - Payer Credentialing",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "2 Empire Dr Ste 100",
"city": "Rensselaer",
"state": "NY",
"country_code": "US",
"postal_code": "121445730",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rensselaer, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.