LEGENDS MEDICAL CLINIC PLLC
NPI 1174721948
Family Medicine in Round Rock, TX
About Legends Medical Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEGENDS MEDICAL CLINIC PLLC (NPI 1174721948) is a healthcare organization registered as a family medicine in Round Rock, Texas and active in the NPI registry since July 2007. The organization holds a CLIA Microscopy certificate valid through July 15, 2027 and lists Xuan Kim Tran, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Legends Medical Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Legends Medical Clinic PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D1070980
Legends Medical Clinic PLLC · Round Rock, TXFrequently 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 Legends Medical Clinic PLLC's NPI number?
The NPI number for Legends Medical Clinic PLLC is 1174721948. It was assigned to this organization in the NPPES registry on July 3, 2007.
Where is Legends Medical Clinic PLLC located?
Legends Medical Clinic PLLC is located at 3000 Joe Dimaggio Blvd Suite 65, Round Rock, TX 78664. The listed phone number is (512) 733-6464.
What is Legends Medical Clinic PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Legends Medical Clinic PLLC enrolled in Medicare?
Yes. Legends Medical Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Legends Medical Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Legends Medical Clinic PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Legends Medical Clinic PLLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D1070980) is associated with this NPI, valid through July 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Legends Medical Clinic PLLC accept?
Health plans from Moda Health Plan, Inc. list Legends Medical Clinic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Legends Medical Clinic PLLC was last updated on May 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Legends Medical Clinic Pllc · NPI 1174721948
Family Medicine organization in Round Rock, Texas. Organization record, active in the CMS NPPES registry since July 3, 2007.
## Identity
- **NPI:** 1174721948 (Entity type: Organization)
- **Enumerated:** July 3, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Xuan Tran, PRESIDENT
## Practice location
- **Address:** 3000 JOE DIMAGGIO BLVD, SUITE 65, Round Rock, TX 78664-3990
- **Phone:** (512) 733-6464
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 23, 2008
- **Other identifiers:** Medicare PIN 00Y623 (TX); Other 0038PX (TX)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1174721948) · Data from the CMS NPPES public registry.