LEGACY MD
NPI 1396250577
Internal Medicine in Frisco, TX
NPI Status: Active since December 09, 2017
Contact Information
4040 LEGACY DR STE 104
FRISCO, TX
ZIP 75034
Phone: (469) 200-8046
- Organization
- Internal Medicine
- CLIA Number: 45D1035238
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-05-2028
About LEGACY MD
This page provides the complete NPI Profile along with additional information for Legacy Md, an internist established in Frisco, Texas operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1396250577 assigned on December 2017. The practitioner's primary taxonomy code is 207R00000X with license number N5873 (TX). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Legacy Md. The authorized official of this NPI record is Dr. Ousama Moammar Md (Ceo)
- NPI
- 1396250577
- Provider Legal Name
- NORTH DALLAS HEALTHCARE ASSOCIATES LLC
- Other Organization Name
- LEGACY MD
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4040 LEGACY DR STE 104 FRISCO, TX 75034
- Location Phone
- (469) 200-8046
- Mailing Address
- 4040 LEGACY DR STE 104 FRISCO, TX 75034
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-09-2017
- Last Update Date
- 12-09-2017
- Code Navigator
An internist like Legacy Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- N5873
- License State
- TX
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D1035238
- Facility Type
- Physician Office
- Certificate Effective Date
- February 06, 2026
- Certificate Expiration Date
- February 05, 2028
- Laboratory Director
- MELISSA BAILEY
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Legacy Md in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1396250577, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396250577, enumerated as an "organization" on December 09, 2017.
The provider is located at 4040 LEGACY DR STE 104 FRISCO, TX 75034 and the phone number is (469) 200-8046.
Internal Medicine with taxonomy code 207R00000X.
