THEODORE F LOGAN MD
NPI 1568428498
Internal Medicine - Hematology & Oncology in Indianapolis, IN

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment
535 BARNHILL DR, RT 473, INDIANAPOLIS, IN 46202(317) 278-7576 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Theodore F Logan Md NPPES

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

THEODORE F LOGAN MD (NPI 1568428498) is an individual hematology & oncology provider in Indianapolis, Indiana, licensed in Indiana (01051224A) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1568428498
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameTHEODORE F LOGANCredential: MD
Location Address535 BARNHILL DR, RT 473Indianapolis, IN 46202-5112
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateApril 20, 2006
Last NPPES UpdateMarch 13, 2025
NPPES CertifiedMarch 13, 2025
✔ NPI 1568428498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in IN · 01051224A✔ Licensed in IN · 01051224
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 01051224A (IN)
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 01051224A (IN)
535 BARNHILL DR, Indianapolis, IN 46202

Secondary Practice Location 1

Location 11701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (888) 484-3258

Other Identifiers 2

Other000000109649IN · Anthem Ptan
Medicaid200243290IN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theodore F Logan 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.

PECOS PAC ID9335284470
PECOS Enrollment IDI20100301000849
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

2

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

Internal Medicine
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 358 clinicians in this Medicare group
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
157 services83 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
90 services26 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
27 services17 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150051
Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Indiana University Health Arnett Hospital

Acute Care Hospitals · Lafayette, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150173
Location5165 Mccarty LnLafayette, IN 47905 · Tippecanoe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine (Nephrology)
535 BARNHILL DR, RT 150
INDIANAPOLIS, IN 46202
Registered Nurse
535 BARNHILL DR
INDIANAPOLIS, IN 46202
Psychologist (Clinical)
535 BARNHILL DR
INDIANAPOLIS, IN 46202
Specialist
535 BARNHILL DR, SUITE 420
INDIANAPOLIS, IN 46202
Internal Medicine (Hematology & Oncology)
535 BARNHILL DR
INDIANAPOLIS, IN 46202
Internal Medicine (Hematology & Oncology)
535 BARNHILL DR
INDIANAPOLIS, IN 46202
Internal Medicine (Hematology & Oncology)
535 BARNHILL DR
INDIANAPOLIS, IN 46202
Dietitian, Registered (Nutrition, Oncology)
535 BARNHILL DR
INDIANAPOLIS, IN 46202

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 Theodore Logan's NPI number?

The NPI number for Theodore Logan is 1568428498. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Theodore Logan located?

Theodore Logan practices at 535 Barnhill Dr Rt 473, Indianapolis, IN 46202. The listed phone number is (317) 278-7576.

What is Theodore Logan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Theodore Logan enrolled in Medicare?

Yes. Theodore Logan 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.

Which organizations bill Medicare for Theodore Logan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Logan reassigns Medicare benefits to 2 organizations: University Medical Diagnostic Associates, Inc. (Indianapolis, IN) and Iu Health Medical Group, LLC (Indianapolis, IN). 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 Theodore Logan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theodore Logan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Theodore 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.

Is Theodore Logan affiliated with any hospitals?

According to CMS data, Theodore Logan is affiliated with Indiana University Health Bloomington Hospital, Indiana University Health and Indiana University Health Arnett Hospital.

When was this NPI record last updated?

The NPPES record for Theodore Logan was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.