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LOGAN PATRICK FETTIG
NPI 1023875192
Anesthesiologist Assistant in Houston, TX

Active since March 04, 2024Accepts Medicare Assignment
6720 BERTNER AVE, HOUSTON, TX 77030(832) 355-2666 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 9, 2024, Mar 4, 2024 (2 updates tracked since 2024).

About Logan Patrick Fettig NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOGAN PATRICK FETTIG (NPI 1023875192) is an individual anesthesiologist assistant in Houston, Texas, licensed in Texas (789790200) and active in the NPI registry since March 2024. He is affiliated with Chi St Luke's Health Baylor College Of Medicine Me and is a graduate of Other (2024).

NPPES Registry Identity

NPI1023875192
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameLOGAN PATRICK FETTIG
Location Address6720 BERTNER AVEHouston, TX 77030-2604
Mailing Address6720 Bertner AveHouston, TX 77030-2604
Phone(832) 355-2666
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 4, 2024
Last NPPES UpdateMay 22, 20242 updates tracked since enumeration
NPPES CertifiedMay 22, 2024
✔ NPI 1023875192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in TX · 789790200
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
6720 BERTNER AVE, Houston, TX 77030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Logan Patrick Fettig is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284178526
PECOS Enrollment IDI20240627003476

Medicare Billing Reassignment

Medicare enrollment records show Logan Fettig reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baylor College Of Medicine
0.8 mi
Medical Genetics, Ph.D. Medical Genetics
7200 CAMBRIDGE ST FL 10
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,554 clinicians in this Medicare group
NPI 1881026664 (713) 798-0000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450193
Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County
Emergency services

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ARCHANA VARGHEESE RAGHAVAN M.D.
Anesthesiology
6720 BERTNER AVE
HOUSTON, TX 77030
Harris County (832) 355-2666
NEAL SAVJANI M.D.
Radiology (Vascular & Interventional Radiology)
6720 BERTNER AVE
HOUSTON, TX 77030
Harris County (713) 798-1000
DR. BRIAN S CHINAI DO
Internal Medicine (Critical Care Medicine)
6720 BERTNER AVE
HOUSTON, TX 77030
Harris County (832) 355-2666
MIR TAJAMMUL HUSSAIN MD
Anesthesiology
6720 BERTNER AVE
HOUSTON, TX 77030
Harris County (832) 355-2666
DR. ALIREZA PARHIZGAR M.D.
Internal Medicine
6720 BERTNER AVE
HOUSTON, TX 77030
Harris County (713) 798-2222
NEKIA MARIE STEWART CRNA
Nurse Anesthetist, Certified Registered
6720 BERTNER AVE
HOUSTON, TX 77030
Harris County (832) 355-2666
CAITLYN MARIE KOHAKE
Anesthesiologist Assistant
6720 BERTNER AVE
HOUSTON, TX 77030
Harris County (823) 355-2666
XOCHITL B. SANCHEZ M.D.
Anesthesiology
6720 BERTNER AVE
HOUSTON, TX 77030
Harris County (713) 798-1750

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Logan Fettig's NPI number?

The NPI number for Logan Fettig is 1023875192. It was assigned to this individual provider in the NPPES registry on March 4, 2024.

Where is Logan Fettig located?

Logan Fettig practices at 6720 Bertner Ave, Houston, TX 77030. The listed phone number is (832) 355-2666.

What is Logan Fettig's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Logan Fettig enrolled in Medicare?

Yes. Logan Fettig is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Logan Fettig's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Logan Fettig reassigns Medicare benefits to Baylor College Of Medicine (Houston, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Logan Fettig's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Logan Fettig accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Logan Fettig as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Logan Fettig affiliated with any hospitals?

According to CMS data, Logan Fettig is affiliated with Chi St Luke's Health Baylor College Of Medicine Me.

When was this NPI record last updated?

The NPPES record for Logan Fettig was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.