Individual provider Active NPI

Logan Zachary Blair, MD

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1922528538
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD471702 Issued in PA
Practice address
1700 N Broad St Ste 4
Philadelphia, PA 19121-3429
Phone
(215) 204-7500
NPI assigned
Jun 24, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD471702 PA Primary

Addresses

Primary practice location

1700 N Broad St Ste 4
Philadelphia, PA 19121-3429

Mailing address

1700 N Broad St Ste 4
Philadelphia, PA 19121-3429
Phone (215) 204-7500

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address logan.blair@temple.edu
Direct Messaging Address PAExchange@patientfirstclinics.com Health Information Exchange (HIE)
Direct Messaging Address diana.zackey@temple.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20220128000301 PA Practitioner - Internal Medicine 2567854326 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD471702PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ninth Street Internal Medicine Associates LTD Internal Medicine CurrentSince Dec 1, 2021 Accepting new patients
Patient First Pennsylvania Medical Group PLLC CurrentSince Mar 13, 2024 Accepting new patients
Patient First Pennsylvania Medical Group PLLC CurrentSince Mar 13, 2024 Accepting new patients
Temple University of the Commonwealth System of Higher Education PastSince Sep 15, 2024 Accepting new patients

Locations

5125 Jonestown Rd
Ste 105
Harrisburg, PA 17112
Phone (717) 943-1566

713 Bethlehem Pike
Montgomeryvle, PA 18936
Phone (267) 695-3944

805 Locust St
Philadelphia, PA 19107
Phone (215) 440-8681

417 Baltimore Pike
Springfield, PA 19064
Phone (484) 470-2600

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACJBAA
  • Direct secure messaging: paexchange@patientfirstclinics.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1498262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1922528538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N BROAD ST STE 4",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191213429",
            "telephone_number": "215-204-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N BROAD ST STE 4",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191213429",
            "telephone_number": "215-204-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "LOGAN",
        "middle_name": "ZACHARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-24",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD471702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "logan.blair@temple.edu",
            "affiliation": "N",
            "address_1": "1700 N Broad St Ste 4",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191213429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PAExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "417 Baltimore Pike",
            "city": "Springfield",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190643810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "diana.zackey@temple.edu",
            "affiliation": "N",
            "address_1": "1700 N Broad St Ste 4",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191213429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.