LOGAN FAMILY MEDICAL CENTER LLC
NPI 1285824979
Clinic/Center - Primary Care in Bellefontaine, OH
About Logan Family Medical Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LOGAN FAMILY MEDICAL CENTER LLC (NPI 1285824979) is a healthcare organization registered as a primary care in Bellefontaine, Ohio and active in the NPI registry since July 2007. The organization lists Mabbu G Shivaprasad, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Logan Family Medical Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Logan Family Medical Center LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Bellefontaine, OH 43311
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 Logan Family Medical Center LLC's NPI number?
The NPI number for Logan Family Medical Center LLC is 1285824979. It was assigned to this organization in the NPPES registry on July 28, 2007.
Where is Logan Family Medical Center LLC located?
Logan Family Medical Center LLC is located at 2210 Timber Trl, Bellefontaine, OH 43311. The listed phone number is (937) 593-3151.
What is Logan Family Medical Center LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Logan Family Medical Center LLC enrolled in Medicare?
Yes. Logan Family Medical Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Logan Family Medical Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Logan Family Medical Center LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Logan Family Medical Center LLC was last updated on July 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Logan Family Medical Center Llc · NPI 1285824979
Primary Care organization in Bellefontaine, Ohio. Organization record, active in the CMS NPPES registry since July 28, 2007.
## Identity
- **NPI:** 1285824979 (Entity type: Organization)
- **Enumerated:** July 28, 2007
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Mabbu Shivaprasad, PHYSICIAN
## Practice location
- **Address:** 2210 TIMBER TRL, Bellefontaine, OH 43311-9039
- **Phone:** (937) 593-3151
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 28, 2007
- **Other identifiers:** Medicare UPIN G56416 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1285824979) · Data from the CMS NPPES public registry.