NPIMap

Individual provider Active NPI

Joshua E Logan, MD

  • Urology Physician
  • Anchorage, AK
National Provider Identifier
1902067390
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
7771 Issued in AK
Practice address
188 W Northern Lights Blvd Ste 800
Anchorage, AK 99503-3984
Phone
(907) 276-2803
NPI assigned
Jun 19, 2008
Last updated
Feb 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A115432 CA
Urology Physician 208800000X 7771 AK Primary

Addresses

Primary practice location

188 W Northern Lights Blvd Ste 800
Anchorage, AK 99503-3984

Mailing address

188 W Northern Lights Blvd Ste 800
Anchorage, AK 99503-3984
Phone (907) 276-2803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AK2 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
I20110607000860 CA Practitioner - Urology 9830376409 Reassigns benefits to 1 organization
I20130819000063 AK Practitioner - Urology 9830376409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Emory University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alaska Urology LLCGroup PAC ID 2567351513, 20 clinicians

Practice addresses (Care Compare)

3841 Piper St
T300
Anchorage, AK 99508-4685
Phone (907) 563-3103

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
70.59 of 100Reported as group
Quality
83.37
Promoting interoperability
100
Improvement activities
40
Cost
16.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A115432CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Urology, LLC Urology CurrentSince Oct 6, 2020 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
John Muir Trauma Physicians Billing Service Urology CurrentSince Jul 8, 2018 Accepting new patients
Bass Medical Group Past Accepting new patients
RBS Evolution of Alaska LLC PastSince Dec 1, 2024 Accepting new patients

Locations

3841 Piper St
Ste T300
Anchorage, AK 99508
Phone (907) 563-3103

1001 Noble St
Fairbanks, AK 99701
Phone (907) 276-2806

4201 Bartlett St
Ste 201
Homer, AK 99603
Phone (907) 235-0310

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1110

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1902067390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 W NORTHERN LIGHTS BLVD STE 800",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033984",
            "telephone_number": "907-276-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 W NORTHERN LIGHTS BLVD STE 800",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033984",
            "telephone_number": "907-276-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "JOSHUA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A115432",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AK",
            "license": "7771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.