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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LOGAN DOUGLAS BIRCH DPM
NPI 1053016592
Podiatrist in Lehi, UT

Active since April 04, 2023PECOS Enrolled
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: August 16, 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
Phone(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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Logan Douglas Birch Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 3

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

MR. DANIEL C FERNELIUS FNP-C
Family Medicine (Adult Medicine)
3401 N THANKSGIVING WAY STE 190
LEHI, UT 84048
(385) 454-5027
AARON S ANDERSON M.D.
Family Medicine
3401 N THANKSGIVING WAY STE 190
LEHI, UT 84048
(801) 830-9887
GADZOOM HEALTH LLC
Family Medicine
3401 N THANKSGIVING WAY STE 190
LEHI, UT 84048
(385) 454-5027

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 enrollment system.

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 55 days 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.