ANDREW LOGAN – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1629633433

ANDREW LOGAN is a healthcare provider. based in Tamarac, Florida. specializing in PHYSICAL MEDICINE AND REHABILITATION, PAIN MANAGEMENT. They hold a License No. ME148603 (FL). The NPI Number for ANDREW LOGAN is 1629633433

Main info

Male
7 Years Of Experience
Name
ANDREW LOGAN
NPI
1629633433
Phone
Not provided
Address
7710 NW 71ST CT STE 201
Enumeration Date
7 May 2019
Last Update Date
29 October 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Secondary Phone
9547471221
Graduation Year
2019 (7 years ago)
PAC ID
2062904857
Group Practice PAC ID
0547348195
Professional Enrollment ID
I20251119003340
Address ID
FL333212931TA7710XCTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

833 PHYSICAL MEDICINE AND REHABILITATION in FL

Provider Addresses for ANDREW LOGAN

  • 7710 NW 71ST CT STE 201

    TAMARAC, FL 333212931

    Phone:

    Type: Mailing

  • Broward Health Medical Center, 1600, South Andrews Avenue, Fort Lauderdale, Broward County, Florida, 33316, United States

    FORT LAUDERDALE, FL 333162510

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $138.

Total Amount is formed as General ($138) + Research ($0) + Ownership ($0) = $138.

Last reported payment date: 2024-02-23 • Largest payer in this snapshot: Merz Pharmaceuticals, LLC ($86).

Total Amount

$138

General + Research + Ownership

Payments

5

Total payment records

General Amount

$138

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251119003340IPhysical Medicine And RehabilitationFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33321)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547348195View full group profile
NameSpecialtyState
Orthopedic SurgeryFL
Physician AssistantFL

Reviews

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Frequently asked questions

Can I cross-check ANDREW LOGAN using NPI 1629633433?
NPI 1629633433 belongs to ANDREW LOGAN; compare other details if you need extra assurance.
Is there an active status for ANDREW LOGAN?
For scheduling context, ANDREW LOGAN is shown as active in the registry.
What expertise is attributed to ANDREW LOGAN?
ANDREW LOGAN's specialty line reads Pain Medicine (Physical Medicine & Rehabilitation) Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ANDREW LOGAN?
Travel planning: use Tamarac, Florida as the reference point for ANDREW LOGAN, then confirm.
When was this NPI issued?
Enumeration for ANDREW LOGAN is noted as May 7, 2019 where the registry provides it.

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