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NICOLE RUTH LEGRO MD
NPI 1205586625
Student in an Organized Health Care Education/Training Program in Washington, DC

Active since March 28, 2022PECOS Enrolled
110 IRVING ST NW DEPT OF, WASHINGTON, DC 20010(202) 877-8035(202) 877-7029 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nicole Ruth Legro Md NPPES

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

NICOLE RUTH LEGRO MD (NPI 1205586625) is an individual student in an organized health care education/training program in Washington, District Of Columbia and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1205586625
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNICOLE RUTH LEGROCredential: MD
Location Address110 IRVING ST NW DEPT OFWashington, DC 20010-3017
Mailing Address110 Irving St Nw Dept OfWashington, DC 20010-3017 · (202) 877-8035 · Fax (202) 877-7029
Phone(202) 877-8035
Fax(202) 877-7029
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
✔ NPI 1205586625 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.
110 IRVING ST NW DEPT OF, Washington, DC 20010
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Ruth Legro Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254891088
PECOS Enrollment IDI20260901002477
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 Nicole Legro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc
390 mi
Internal Medicine
330 BROOKLINE AVE
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,579 clinicians in this Medicare group
NPI 1194765438 (617) 754-9600

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 20

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

BRANDON NEIL GLOUSMAN
Surgery (Vascular Surgery)
110 IRVING ST NW DEPT OF
WASHINGTON, DC 20010
District of Columbia (202) 877-3536
RACHEL PAQUETTE DO
Obstetrics & Gynecology
110 IRVING ST NW DEPT OF
WASHINGTON, DC 20010
District of Columbia (202) 877-8035
AHMED HESHAM EL-HASHASH
Student in an Organized Health Care Education/Training Program
110 IRVING ST NW DEPT OF
WASHINGTON, DC 20010
District of Columbia (202) 877-8271
ALEXANDRA NOEL GOSH MD, MBA
Student in an Organized Health Care Education/Training Program
110 IRVING ST NW DEPT OF
WASHINGTON, DC 20010
District of Columbia (202) 877-2835
HAONING HU DPM
Podiatrist (Foot & Ankle Surgery)
110 IRVING ST NW DEPT OF
WASHINGTON, DC 20010
District of Columbia (202) 882-7917
IHAB H S MASRI MBBS
Internal Medicine
110 IRVING ST NW DEPT OF
WASHINGTON, DC 20010
District of Columbia (202) 877-8278
DR. STEPHANIE PITTMAN MD
Student in an Organized Health Care Education/Training Program
110 IRVING ST NW DEPT OF
WASHINGTON, DC 20010
District of Columbia (202) 877-8271
ETHAN GOLDSTEIN M.D.
Internal Medicine (Hospice and Palliative Medicine)
110 IRVING ST NW DEPT OF
WASHINGTON, DC 20010
District of Columbia (202) 877-7445

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 Nicole Legro's NPI number?

The NPI number for Nicole Legro is 1205586625. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Where is Nicole Legro located?

Nicole Legro practices at 110 Irving St NW Dept Of, Washington, DC 20010. The listed phone number is (202) 877-8035.

What is Nicole Legro's specialty?

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

Is Nicole Legro enrolled in Medicare?

Yes. Nicole Legro is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Legro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Legro reassigns Medicare benefits to Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (Boston, MA). 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 Nicole Legro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Legro accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Nicole Legro 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 Nicole Legro was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.