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LOGAN MARK KOI PA-C
NPI 1902637069
Physician Assistant in Chicago, IL

Active since August 12, 2024PECOS EnrolledAccepts Medicare Assignment
1611 W HARRISON ST STE 400, CHICAGO, IL 60612(877) 632-6637(708) 409-5179 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Logan Mark Koi Pa-c NPPES

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

LOGAN MARK KOI PA-C (NPI 1902637069) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085011021) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Munster, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1902637069
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameLOGAN MARK KOICredential: PA-C
Location Address1611 W HARRISON ST STE 400Chicago, IL 60612-4861
Mailing Address1611 W Harrison St Ste 400Chicago, IL 60612-4861 · (877) 632-6637 · Fax (708) 409-5179
Phone(877) 632-6637
Fax(708) 409-5179
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 12, 2024
Last NPPES UpdateJanuary 24, 2025
NPPES CertifiedJanuary 24, 2025
✔ NPI 1902637069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in IL · 085011021✔ Licensed in IN · 10004716A
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1611 W HARRISON ST STE 400, Chicago, IL 60612
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Secondary Practice Location 1

Location 19200 Calumet Ave Ste 300Munster, IN 46321-2885 · Phone (877) 632-6637 · Fax (708) 409-5179

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 Mark Koi Pa-c 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 ID8325575293
PECOS Enrollment IDI20241217003067, I20250123001279
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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. CHIZITAM IBEZIM MD
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1611 W HARRISON ST STE 400
CHICAGO, IL 60612
Cook County (877) 632-6637
DR. TERAH HENNICK MD
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1611 W HARRISON ST STE 400
CHICAGO, IL 60612
Cook County (877) 632-6637
DR. ROBERT RAYMOND HALL III MD
Orthopaedic Surgery
1611 W HARRISON ST STE 400
CHICAGO, IL 60612
Cook County (877) 632-6637
JULIA MORGAN MULLINS PA-C
Physician Assistant
1611 W HARRISON ST STE 400
CHICAGO, IL 60612
Cook County (877) 632-6637
VASILI KARAS M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1611 W HARRISON ST STE 400
CHICAGO, IL 60612
Cook County (312) 432-2300
DR. ZAAMIN BASHEY HUSSAIN MD
Orthopaedic Surgery
1611 W HARRISON ST STE 400
CHICAGO, IL 60612
Cook County (877) 632-6637
DR. DANIEL KWANGWON PARK MD
Orthopaedic Surgery
1611 W HARRISON ST STE 400
CHICAGO, IL 60612
Cook County (877) 632-6637
BRIDGET QUIRK PA
Physician Assistant
1611 W HARRISON ST STE 400
CHICAGO, IL 60612
Cook County (877) 632-6637

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 Koi's NPI number?

The NPI number for Logan Koi is 1902637069. It was assigned to this individual provider in the NPPES registry on August 12, 2024.

Where is Logan Koi located?

Logan Koi practices at 1611 W Harrison St Ste 400, Chicago, IL 60612. The listed phone number is (877) 632-6637.

What is Logan Koi's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Logan Koi enrolled in Medicare?

Yes. Logan Koi 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.

When was this NPI record last updated?

The NPPES record for Logan Koi was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.