LOGAN DOUGLAS BIRCH DPM
NPI 1053016592
Podiatrist in Lehi, UT

Active since April 04, 2023PECOS EnrolledAccepts Medicare Assignment
3401 N THANKSGIVING WAY STE 190, LEHI, UT 84048(385) 454-5027 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Logan Douglas Birch Dpm NPPES

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

LOGAN DOUGLAS BIRCH DPM (NPI 1053016592) is an individual podiatrist in Lehi, Utah, licensed in Utah (14295383-0501) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1053016592
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameLOGAN DOUGLAS BIRCHCredential: DPM
Location Address3401 N THANKSGIVING WAY STE 190Lehi, UT 84048-4157
Mailing Address3401 N Thanksgiving Way Ste 190Lehi, UT 84048-4157 · (385) 454-5027
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 4, 2023
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1053016592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in UT · 14295383-0501
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
3401 N THANKSGIVING WAY STE 190, Lehi, UT 84048

Accepted 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 Douglas Birch Dpm 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 ID9335604602
PECOS Enrollment IDI20260717002024
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

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

Same address
Family Medicine
3401 N THANKSGIVING WAY STE 190
Lehi, UT 84048
  • Reassigned Medicare billing, Utah enrollment
  • 52 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 4

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

Doula
3401 N THANKSGIVING WAY STE 190
LEHI, UT 84048
Family Medicine (Adult Medicine)
3401 N THANKSGIVING WAY STE 190
LEHI, UT 84048
Family Medicine
3401 N THANKSGIVING WAY STE 190
LEHI, UT 84048
Family Medicine
3401 N THANKSGIVING WAY STE 190
LEHI, UT 84048

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 Birch's NPI number?

The NPI number for Logan Birch is 1053016592. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Where is Logan Birch located?

Logan Birch practices at 3401 N Thanksgiving Way Ste 190, Lehi, UT 84048. The listed phone number is (385) 454-5027.

What is Logan Birch's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Logan Birch enrolled in Medicare?

Yes. Logan Birch 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 Birch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Logan Birch reassigns Medicare benefits to Gadzoom Health LLC (Lehi, UT). 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 Birch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Logan Birch accept?

Health plans from University of Utah Health Plans list Logan Birch 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.

When was this NPI record last updated?

The NPPES record for Logan Birch was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.