Active NPI
Andrew William Logeman, M.D.
- Otolaryngology Physician
- Champaign, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 036149599
- Practice address
- 3105 Fields South Dr
Champaign, IL 61822-3743 - Phone
- (217) 902-3277
- Fax
- (217) 902-7757
- NPI assigned
- Jun 16, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 7189 | NE | |
| Otolaryngology Physician | 207Y00000X | 036149599 | IL | Primary |
Addresses
Primary practice location
3105 Fields South Dr
Champaign, IL 61822-3743
Mailing address
611 W Park St
Urbana, IL 61801-2501
Other practice location 1
4400 Emile St
Omaha, NE 68198-0600
Phone (402) 559-6329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Lerna Rd S
Mattoon, IL 61938-9388
Phone (217) 258-5900
3103 Fields S Dr
Champaign, IL 61822-3743
Phone (217) 902-2300
611 W Park St
Urbana, IL 61801-2500
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
Hospital & facility affiliations
- Carle Foundation Hospital
- Sarah Bush Lincoln Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc. | Current | Accepting new patients | |
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Otolaryngology | Current | Accepting new patients |
| Carle Health Care Incorporated | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
3105 Fields South Dr
Champaign, IL 61822
Phone (217) 902-3277
900 E Scott St
Olney, IL 62450
Phone (618) 345-1000
800 E Locust St
Olney, IL 62450
Phone (618) 395-2131
1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
-
- Critical Access Hospital
- Olney, IL
- NPI 1467492124
-
- Otolaryngology Physician
- Olney, IL
- NPI 1700063179
-
- Rural Health Clinic/Center
- West Salem, IL
- NPI 1922475037
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
- General Acute Care Hospital
- Urbana, IL
- NPI 1013071653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1982018271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W PARK ST",
"city": "URBANA",
"state": "IL",
"postal_code": "618012501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3105 FIELDS SOUTH DR",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618223743",
"telephone_number": "217-902-3277",
"fax_number": "217-902-7757"
}
],
"practiceLocations": [
{
"address_1": "4400 Emile St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681980600",
"country_code": "US",
"telephone_number": "402-559-6329",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOGEMAN",
"first_name": "ANDREW",
"middle_name": "WILLIAM",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-16",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NE",
"license": "7189",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IL",
"license": "036149599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.