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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: August 02, 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
Phone(317) 278-7576
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
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

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.

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 5

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

Iu Health West Hospital

Acute Care Hospitals · Avon, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number150158
Location1111 N Ronald Reagan PkwyAvon, IN 46123 · Hendricks County
Emergency services Birthing friendly

Indiana University Health North Hospital

Acute Care Hospitals · Carmel, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150161
Location11700 N Meridian StCarmel, IN 46032 · Hamilton 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.

DR. ANTON ALEXI CABELLON D.O.
Internal Medicine (Nephrology)
535 BARNHILL DR, RT 150
INDIANAPOLIS, IN 46202
Marion County (317) 948-0728
LINDA BATTIATO
Registered Nurse
535 BARNHILL DR
INDIANAPOLIS, IN 46202
Marion County (317) 278-6489
CHRISTIAN JON NELSON PHD
Psychologist (Clinical)
535 BARNHILL DR
INDIANAPOLIS, IN 46202
Marion County (317) 948-2538
AMANJOT SINGH SETHI M.D.
Specialist
535 BARNHILL DR, SUITE 420
INDIANAPOLIS, IN 46202
Marion County (317) 278-1979
DR. ANITA AHMED TURK M.D.
Internal Medicine (Hematology & Oncology)
535 BARNHILL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-0335
JENNIFER MARIE KING MD
Internal Medicine (Hematology & Oncology)
535 BARNHILL DR
INDIANAPOLIS, IN 46202
Marion County (317) 944-0920
NANCY CAROL ISSA MD
Internal Medicine (Hematology & Oncology)
535 BARNHILL DR
INDIANAPOLIS, IN 46202
Marion County (317) 948-6942
BETH A KIRSCH RDN, CSO, LD
Dietitian, Registered (Nutrition, Oncology)
535 BARNHILL DR
INDIANAPOLIS, IN 46202
Marion County (317) 440-6242

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.

What insurance does Theodore Logan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource 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, Iu Health West Hospital, Indiana University Health North Hospital 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 16 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.