1. Home
  2. Directory
  3. Colorado
  4. Aurora
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

SAMUEL LOGAN MD
NPI 1417586173
Student in an Organized Health Care Education/Training Program in Aurora, CO

Active since April 05, 2020PECOS Enrolled
12801 E 17TH AVE STE 4120, AURORA, CO 80045(720) 848-0597 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 20, 2022, Apr 5, 2020 (2 updates tracked since 2020).

About Samuel Logan Md NPPES

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

SAMUEL LOGAN MD (NPI 1417586173) is an individual student in an organized health care education/training program in Aurora, Colorado and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417586173
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL LOGANCredential: MD
Location Address12801 E 17TH AVE STE 4120Aurora, CO 80045-2530
Mailing Address101 W 8th AveSpokane, WA 99204-2307
Phone(720) 848-0597
Sole ProprietorNo
Enumeration DateApril 5, 2020
Last NPPES UpdateApril 20, 20222 updates tracked since enumeration
NPPES CertifiedApril 20, 2022
✔ NPI 1417586173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
12801 E 17TH AVE STE 4120, Aurora, CO 80045
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Logan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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

LAUREN G GENDREW MD
Student in an Organized Health Care Education/Training Program
12801 E 17TH AVE STE 4120
AURORA, CO 80045
Adams County (303) 724-4030
CATERINA PRIZIO
Student in an Organized Health Care Education/Training Program
12801 E 17TH AVE STE 4120
AURORA, CO 80045
Adams County (303) 724-4030

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 Samuel Logan's NPI number?

The NPI number for Samuel Logan is 1417586173. It was assigned to this individual provider in the NPPES registry on April 5, 2020.

Where is Samuel Logan located?

Samuel Logan practices at 12801 E 17th Ave Ste 4120, Aurora, CO 80045. The listed phone number is (720) 848-0597.

What is Samuel Logan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samuel Logan enrolled in Medicare?

Yes. Samuel Logan is registered in the Medicare PECOS enrollment system.

What insurance does Samuel Logan accept?

Health plans from Medica list Samuel Logan 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 Samuel Logan was last updated on April 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.