SUMMIT UROLOGY
NPI 1285604199
Urology in Bloomington, IN
About Summit Urology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMMIT UROLOGY (NPI 1285604199) is a healthcare organization registered as an urology in Bloomington, Indiana and active in the NPI registry since January 2006. The organization lists Brian J Logue, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Summit Urology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Summit Urology, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Brian J. Logue MD. PC's NPI number?
The NPI number for Brian J. Logue MD. PC is 1285604199. It was assigned to this organization in the NPPES registry on January 24, 2006. The provider is doing business as Summit Urology.
Where is Brian J. Logue MD. PC located?
Brian J. Logue MD. PC is located at 2907 S. Mcintire Dr, Bloomington, IN 47403. The listed phone number is (812) 332-8765.
What is Brian J. Logue MD. PC's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Brian J. Logue MD. PC enrolled in Medicare?
Yes. Brian J. Logue MD. PC is registered in the Medicare PECOS enrollment system.
When is Brian J. Logue MD. PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Brian J. Logue MD. PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Urology, reassign their Medicare billing to Brian J. Logue MD. PC. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Brian J. Logue MD. PC accept?
Health plans from Anthem Blue Cross and Blue Shield list Brian J. Logue MD. PC 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 Brian J. Logue MD. PC was last updated on January 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Summit Urology · NPI 1285604199
Urology organization in Bloomington, Indiana. Organization record, active in the CMS NPPES registry since January 24, 2006.
## Identity
- **NPI:** 1285604199 (Entity type: Organization)
- **Enumerated:** January 24, 2006
- **Primary specialty:** Urology · taxonomy 208800000X
- **Legal business name:** Brian J. Logue Md. Pc
- **Organization subpart:** No
- **Authorized official:** Brian Logue, OWNER
## Practice location
- **Address:** 2907 S. MCINTIRE DR, Bloomington, IN 47403-4224
- **Phone:** (812) 332-8765 · **Fax:** (812) 336-3425
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Indiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Urology) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 16, 2018
- **Other identifiers:** Other 000000098138 (IN); Other CD6715 (IN); Medicaid 200175020A (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1285604199) · Data from the CMS NPPES public registry.