LEGACY HEALTH ALLIANCE LLC
NPI 1265247274
Clinic/Center - Primary Care in Marlborough, MA
About Legacy Health Alliance Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEGACY HEALTH ALLIANCE LLC (NPI 1265247274) is a healthcare organization registered as a primary care in Marlborough, Massachusetts and active in the NPI registry since February 2025. The organization lists Suellen Duque, Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Legacy Health Alliance Llc 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 Legacy Health Alliance LLC, 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.
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 Legacy Health Alliance LLC's NPI number?
The NPI number for Legacy Health Alliance LLC is 1265247274. It was assigned to this organization in the NPPES registry on February 8, 2025.
Where is Legacy Health Alliance LLC located?
Legacy Health Alliance LLC is located at 65 Fremont St Ofc 6, Marlborough, MA 01752. The listed phone number is (508) 658-2246.
What is Legacy Health Alliance LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Legacy Health Alliance LLC enrolled in Medicare?
Yes. Legacy Health Alliance LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Legacy Health Alliance LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Legacy Health Alliance LLC. 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.
When was this NPI record last updated?
The NPPES record for Legacy Health Alliance LLC was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Legacy Health Alliance Llc · NPI 1265247274
Primary Care organization in Marlborough, Massachusetts. Organization record, active in the CMS NPPES registry since February 8, 2025.
## Identity
- **NPI:** 1265247274 (Entity type: Organization)
- **Enumerated:** February 8, 2025
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Suellen Duque, PROVIDER
## Practice location
- **Address:** 65 FREMONT ST OFC 6, Marlborough, MA 01752-1271
- **Phone:** (508) 658-2246
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1265247274) · Data from the CMS NPPES public registry.