ANDREW LOGAN
NPI 1629633433
Physical Medicine & Rehabilitation - Pain Medicine in Tamarac, FL

Q: What is Andrew Logan's NPI number?

The NPI number for Andrew Logan is 1629633433. It was assigned to this individual provider in the NPPES registry on May 7, 2019.

Q: What is Andrew Logan's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Logan was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since May 07, 2019PECOS Enrolled

7710 NW 71ST CT STE 201, TAMARAC, FL 33321(954) 854-9193 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Andrew Logan NPPES

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

ANDREW LOGAN (NPI 1629633433) is an individual pain medicine provider in Tamarac, Florida, licensed in Florida (ME148603) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (2019).

NPPES Registry Identity

NPI1629633433

Entity TypeIndividualMale

Primary Taxonomy2081P2900X

Provider Legal NameANDREW LOGAN

Location Address7710 NW 71ST CT STE 201Tamarac, FL 33321-2931

Mailing Address7710 Nw 71st Ct Ste 201Tamarac, FL 33321-2931

Phone(954) 854-9193

Sole ProprietorNo

Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2019

Enumeration DateMay 7, 2019

Last NPPES UpdateOctober 29, 2025

NPPES CertifiedOctober 29, 2025

✔ NPI 1629633433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P2900X

License✔ Licensed in FL · ME148603

Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

7710 NW 71ST CT STE 201, Tamarac, FL 33321

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Logan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062904857

PECOS Enrollment IDI20251119003340

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 Reassignment

Medicare enrollment records show Andrew Logan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Comprehensive Spine Center PLLC

Same address

Orthopaedic Surgery of the Spine

7710 NW 71ST CT STE 201
Tamarac, FL 33321

Reassigned Medicare billing, Florida enrollment
2 clinicians in this Medicare group

NPI 1013180967 (954) 747-1221

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 3

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

COMPREHENSIVE SPINE CENTER PLLC

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

7710 NW 71ST CT STE 201
TAMARAC, FL 33321

Broward County (954) 747-1221

JULIAN A CAMERON M.D.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

7710 NW 71ST CT STE 201
TAMARAC, FL 33321

Broward County (954) 747-1221

PALM ORTHOPEDICS & INTERVENTIONAL PAIN LLC

Clinic/Center (Multi-Specialty)

7710 NW 71ST CT STE 201
TAMARAC, FL 33321

Broward County (954) 747-1221

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 Andrew Logan's NPI number?

The NPI number for Andrew Logan is 1629633433. It was assigned to this individual provider in the NPPES registry on May 7, 2019.

Where is Andrew Logan located?

Andrew Logan practices at 7710 NW 71st Ct Ste 201, Tamarac, FL 33321. The listed phone number is (954) 854-9193.

What is Andrew Logan's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Andrew Logan enrolled in Medicare?

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

Which organization bills Medicare for Andrew Logan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Logan reassigns Medicare benefits to Comprehensive Spine Center PLLC (Tamarac, FL). The 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 Andrew Logan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrew Logan was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.