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DR. LOGAN PHILLIP GRIMES MD
NPI 1568955664
Pediatrics - Pediatric Infectious Diseases in Philadelphia, PA

Active since June 13, 2018PECOS Enrolled
3401 CIVIC CENTER BLVD RM DIVISION, PHILADELPHIA, PA 19104(215) 590-2017 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 26, 2024, Jun 22, 2021, Jun 13, 2018 (3 updates tracked since 2018).

About Dr. Logan Phillip Grimes Md NPPES

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

DR. LOGAN PHILLIP GRIMES MD (NPI 1568955664) is an individual pediatric infectious diseases provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD475081) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568955664
Entity TypeIndividualMale
Primary Taxonomy2080P0208X
Provider Legal NameDR. LOGAN PHILLIP GRIMESCredential: MD
Location Address3401 CIVIC CENTER BLVD RM DIVISIONPhiladelphia, PA 19104-4319
Mailing Address3401 Civic Center Blvd Rm 55Philadelphia, PA 19104-4319 · (215) 590-1220
Phone(215) 590-2017
Sole ProprietorNo
Enumeration DateJune 13, 2018
Last NPPES UpdateSeptember 26, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2024
✔ NPI 1568955664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0208X
License✔ Licensed in PA · MD475081
Definition
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
Also ListedPediatricsTaxonomy 208000000X · License MD475081 (PA)
3401 CIVIC CENTER BLVD RM DIVISION, Philadelphia, PA 19104
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Logan Phillip Grimes 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.

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 Grimes's NPI number?

The NPI number for Logan Grimes is 1568955664. It was assigned to this individual provider in the NPPES registry on June 13, 2018.

Where is Logan Grimes located?

Logan Grimes practices at 3401 Civic Center Blvd Rm Division, Philadelphia, PA 19104. The listed phone number is (215) 590-2017.

What is Logan Grimes's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Is Logan Grimes enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Logan Grimes was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.