LOGAN RENEE GRUBB MD
NPI 1558092924
Family Medicine in Springfield, IL
About Logan Renee Grubb Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LOGAN RENEE GRUBB MD (NPI 1558092924) is an individual family medicine provider in Springfield, Illinois, licensed in Illinois (036173042) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Logan Renee Grubb Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Medical Center
Acute Care Hospitals · Springfield, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPRINGFIELD, IL 62704
SPRINGFIELD, IL 62704
SPRINGFIELD, IL 62704
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 Grubb's NPI number?
The NPI number for Logan Grubb is 1558092924. It was assigned to this individual provider in the NPPES registry on June 17, 2022.
Where is Logan Grubb located?
Logan Grubb practices at 3132 Old Jacksonville Rd Ste 200, Springfield, IL 62704. The listed phone number is (217) 862-0800.
What is Logan Grubb's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Logan Grubb enrolled in Medicare?
Yes. Logan Grubb is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Logan Grubb affiliated with any hospitals?
According to CMS data, Logan Grubb is affiliated with Memorial Medical Center.
When was this NPI record last updated?
The NPPES record for Logan Grubb was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 Renee Grubb, MD · NPI 1558092924
Family Medicine physician in Springfield, Illinois. Individual provider, active in the CMS NPPES registry since June 17, 2022.
## Identity
- **NPI:** 1558092924 (Entity type: Individual)
- **Enumerated:** June 17, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 036173042 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 3132 OLD JACKSONVILLE RD STE 200, Springfield, IL 62704-7401
- **Phone:** (217) 862-0800 · **Fax:** (217) 862-0871
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 1, 2025
- **Other identifiers:** Other 036173042 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1558092924) · Data from the CMS NPPES public registry.