Active NPI
Meryl Simon Logan, MD
- Vascular Surgery Physician
- Temple, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- S6438
- Practice address
- 1901 Veterans Memorial Dr
Temple, TX 76504-7445 - Phone
- (254) 743-1036
- NPI assigned
- Aug 29, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | S6438 | TX | Primary |
Addresses
Primary practice location
1901 Veterans Memorial Dr
Temple, TX 76504-7445
Mailing address
5526 Shire Dr
Belton, TX 76513-5880
Phone (516) 644-0953
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20220608002319 | TX | Practitioner - Vascular Surgery | 6507244274 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Drexel University College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Seton Family of Doctors
Practice addresses (Care Compare)
1004 W 32ND St
200 Ascension Texas Spine and Scoliosis
Austin, TX 78705-1006
Phone (512) 324-3580
11111 Research Blvd
Suite 300
Austin, TX 78759-5792
Phone (844) 448-8124
1180 Seton Pkwy
Kyle, TX 78640-6178
1201 W 38TH St
Austin, TX 78705-1006
Phone (512) 324-1000
1301 W 38TH St
Austin, TX 78705-1012
1400 N Ih 35
Austin, TX 78701-1926
1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300
1500 Red River St
Austin, TX 78701-1918
Phone (512) 324-7000
301 Seton Pkwy
Round Rock, TX 78665-8003
4207 James Casey St
Suite 317
Austin, TX 78745-3362
Phone (512) 324-3447
6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000
630 Hwy 71 W
Ascension Seton Bastrop
Bastrop, TX 78602-4234
Phone (512) 324-3440
Hospital & facility affiliations
- Dell Seton Med Center at the University of TX
- Ascension Seton Medical Center Austin
- Ascension Seton Hays
- Ascension Seton Williamson
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 25 |
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seton Family of Doctors | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients |
Locations
1004 W 32nd St
Ste 300
Austin, TX 78705
Phone (512) 324-3440
1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300
1301 W 38th St
Ste 307
Austin, TX 78705
Phone (512) 324-3028
2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
Interoperability endpoints
- meryl.logan.1@8363.direct.athenahealth.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.
-
- Radiology Clinic/Center
- Austin, TX
- NPI 1275290694
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1730513482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5526 SHIRE DR",
"city": "BELTON",
"state": "TX",
"postal_code": "765135880",
"telephone_number": "516-644-0953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 VETERANS MEMORIAL DR",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765047445",
"telephone_number": "254-743-1036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGAN",
"first_name": "MERYL",
"middle_name": "SIMON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-29",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "TX",
"license": "S6438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.