LOGAN KYLE ROSENBERG MD
NPI 1972131845
Student in an Organized Health Care Education/Training Program in Richmond, VA

Q: What is Logan Rosenberg's NPI number?

The NPI number for Logan Rosenberg is 1972131845. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Q: What is Logan Rosenberg's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Logan Rosenberg was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 March 27, 2020PECOS Enrolled

1200 E MARSHALL ST, RICHMOND, VA 23298(800) 762-6161 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 22, 2023, Mar 27, 2020 (2 updates tracked since 2020).

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About Logan Kyle Rosenberg Md NPPES

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

LOGAN KYLE ROSENBERG MD (NPI 1972131845) is an individual student in an organized health care education/training program in Richmond, Virginia and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1972131845

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameLOGAN KYLE ROSENBERGCredential: MD

Location Address1200 E MARSHALL STRichmond, VA 23298-5023

Mailing Address20 Sutton Pl S Apt 20cNew York, NY 10022-4348 · (914) 548-6873

Phone(800) 762-6161

Sole ProprietorYes

Enumeration DateMarch 27, 2020

Last NPPES UpdateJune 22, 20232 updates tracked since enumeration

NPPES CertifiedJune 22, 2023

✔ NPI 1972131845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1200 E MARSHALL ST, Richmond, VA 23298

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Secondary Practice Location 1

Location 11200 NW 23rd AvePortland, OR 97210-2906 · Phone (503) 413-7074 · Fax (503) 413-6892

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Logan Kyle Rosenberg 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.

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.

AMIT SHARMA MD

Surgery