Keith W Logie, M.D.

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

01031620 Issued in IN

Practice address

10212 Lantern Rd
Fishers, IN 46037-9705

Phone

(317) 841-5656

Fax

(317) 841-5751

NPI assigned

Aug 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: klogie@direct.iuhealth.org

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.

• Indiana University Health Care Associates, Inc

  • General Practice Physician
  • Indianapolis, IN
  • NPI 1902032832
  Medicare reassignment NPD
• Indiana University Health, Inc

  • Cardiovascular Disease Physician
  • Indianapolis, IN
  • NPI 1376586719

  Medical Oncology

  NPD
• Oncology & Hematology Associates, LLC

  • Specialist
  • Indianapolis, IN
  • NPI 1063485639
  NPD (past)
• University Medical Diagnostic Associates, Inc.

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1861441537
  NPD (past)

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1699767780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 E 75TH ST",
            "address_2": "SUITE 140",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502777",
            "telephone_number": "317-594-6900",
            "fax_number": "317-594-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10212 LANTERN RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379705",
            "telephone_number": "317-841-5656",
            "fax_number": "317-841-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGIE",
        "first_name": "KEITH",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IN",
            "license": "01031620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "110031005",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100323590",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lloyd Podiatry Group Inc
• Alexa Renne Lockhart
• Michelle Loftin
• Kevin Michael Logan, M.D.
• Leah Logan, MSOTR
• Chloe Catherine Long, OTR/L
• Harold O Longe, MD
• Peter Arnold Lopat, DC
• Alexandra Lopez
• Leah Grace Lopez, RPT

• Medical Oncology Physician in Fishers, IN
• Providers in Fishers, IN by specialty
• Medical Oncology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.