KELSEY LOGAN MD
NPI 1497723076
Pediatrics - Sports Medicine in Cincinnati, OH

Q: What is Kelsey Logan's NPI number?

The NPI number for Kelsey Logan is 1497723076. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Q: What is Kelsey Logan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

Q: When was this NPI record last updated?

The NPPES record for Kelsey Logan was last updated on March 17, 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.

Active since March 09, 2006PECOS Enrolled

3333 BURNET AVE, ML 10001, CINCINNATI, OH 45229(513) 636-4366(513) 636-0516 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2018, Jan 8, 2018 (2 updates tracked since 2018).

On this page

About Kelsey Logan Md NPPES

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

KELSEY LOGAN MD (NPI 1497723076) is an individual sports medicine provider in Cincinnati, Ohio, licensed in Ohio (35.093069) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1497723076

Entity TypeIndividualFemale

Primary Taxonomy2080S0010X

Provider Legal NameKELSEY LOGANCredential: MD

Location Address3333 BURNET AVE, ML 10001Cincinnati, OH 45229-3026

Mailing Address3333 Burnet Ave, Ml 10001Cincinnati, OH 45229-3026 · (513) 636-4366 · Fax (513) 636-0516

Phone(513) 636-4366

Fax(513) 636-0516

Sole ProprietorNo

Enumeration DateMarch 9, 2006

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1497723076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080S0010X

License✔ Licensed in OH · 35.093069

Definition

A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedPediatricsTaxonomy 208000000X · License 35.093069 (OH)

3333 BURNET AVE, Cincinnati, OH 45229

Open in Google Maps ↗

Secondary Practice Location 1

Location 13130 Highland AveCincinnati, OH 45219-2399 · Phone (513) 584-7425

Other Identifiers 1

Medicaid2932509OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey 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.

Medicare Billing Reassignments

Medicare enrollment records show Kelsey Logan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Hospital Medical Center

Same address

Pediatrics

3333 BURNET AVENUE
Cincinnati, OH 45229

Reassigned Medicare billing, Ohio enrollment
2,080 clinicians in this Medicare group

NPI 1609915784 (513) 636-4225

University Of Cincinnati Physicians Company, LLC

0.3 mi

Family Medicine

3188 BELLEVUE AVE
Cincinnati, OH 45219

Reassigned Medicare billing, Ohio enrollment
2,038 clinicians in this Medicare group

NPI 1801840434 (513) 584-1000

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 20

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

PREEYACHA PACHARN M.D.

Radiology (Pediatric Radiology)

3333 BURNET AVE, ML 5031
CINCINNATI, OH 45229

Hamilton County (513) 636-4251

BRIAN KEITH TURPIN D.O.

Pediatrics (Pediatric Hematology-Oncology)

3333 BURNET AVE
CINCINNATI, OH 45229

Hamilton County (513) 636-3381

ETHAN J MUSGRAVE M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)

3333 BURNET AVE, ML 3014
CINCINNATI, OH 45229

Hamilton County (513) 636-4788

KATHRYN WEAVER M.D.

Medical Genetics (Clinical Genetics (M.D.))

3333 BURNET AVE, ML 4006
CINCINNATI, OH 45229

Hamilton County (513) 636-4760

ROBIN T COTTON, MD, INC

Otolaryngology (Pediatric Otolaryngology)

3333 BURNET AVE, MLC 2018
CINCINNATI, OH 45229

Hamilton County (513) 636-7138

ELIZABETH ANN MOORE CNP

Nurse Practitioner (Acute Care)

3333 BURNET AVE, ML 2003
CINCINNATI, OH 45229

Hamilton County (513) 636-4432

CONSTANCE MARIE MARTIN CNP

Nurse Practitioner (Primary Care)

3333 BURNET AVE, ML 2018
CINCINNATI, OH 45229

Hamilton County (513) 636-4355

EMILY RENAE LY LSW

Case Manager/Care Coordinator

3333 BURNET AVE
CINCINNATI, OH 45229

Hamilton County (513) 803-6316

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 Kelsey Logan's NPI number?

The NPI number for Kelsey Logan is 1497723076. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Kelsey Logan located?

Kelsey Logan practices at 3333 Burnet Ave Ml 10001, Cincinnati, OH 45229. The listed phone number is (513) 636-4366.

What is Kelsey Logan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

Is Kelsey Logan enrolled in Medicare?

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

Which organizations bill Medicare for Kelsey Logan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Logan reassigns Medicare benefits to 2 organizations: Children's Hospital Medical Center (Cincinnati, OH) and University Of Cincinnati Physicians Company, LLC (Cincinnati, OH). Each 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 Kelsey Logan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelsey Logan accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance list Kelsey 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 Kelsey Logan was last updated on March 17, 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.