LEGEND INTERNAL MEDICINE, URGENT CARE & DIAGNOSTIC
NPI 1619003886
Clinic/Center - Primary Care in Fort Worth, TX
About Legend Internal Medicine, Urgent Care & Diagnostic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEGEND INTERNAL MEDICINE, URGENT CARE & DIAGNOSTIC (NPI 1619003886) is a healthcare organization registered as a primary care in Fort Worth, Texas and active in the NPI registry since February 2007. The organization lists Fidelis K Unini, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Legend Internal Medicine, Urgent Care & Diagnostic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Legend Internal Medicine, Urgent Care & Diagnostic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Legend Internal Medicine, Urgent Care & Diagnostic's NPI number?
The NPI number for Legend Internal Medicine, Urgent Care & Diagnostic is 1619003886. It was assigned to this organization in the NPPES registry on February 24, 2007.
Where is Legend Internal Medicine, Urgent Care & Diagnostic located?
Legend Internal Medicine, Urgent Care & Diagnostic is located at 609 Hemphill St Suite 101, Fort Worth, TX 76104. The listed phone number is (817) 923-8484.
What is Legend Internal Medicine, Urgent Care & Diagnostic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Legend Internal Medicine, Urgent Care & Diagnostic enrolled in Medicare?
Yes. Legend Internal Medicine, Urgent Care & Diagnostic is registered in the Medicare PECOS enrollment system.
When is Legend Internal Medicine, Urgent Care & Diagnostic's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Legend Internal Medicine, Urgent Care & Diagnostic?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Legend Internal Medicine, Urgent Care & Diagnostic, in Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Legend Internal Medicine, Urgent Care & Diagnostic accept?
Health plans from Molina Healthcare list Legend Internal Medicine, Urgent Care & Diagnostic 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 Legend Internal Medicine, Urgent Care & Diagnostic was last updated on April 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Legend Internal Medicine, Urgent Care & Diagnostic · NPI 1619003886
Primary Care organization in Fort Worth, Texas. Organization record, active in the CMS NPPES registry since February 24, 2007.
## Identity
- **NPI:** 1619003886 (Entity type: Organization)
- **Enumerated:** February 24, 2007
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Fidelis Unini, MEDICAL DIRECTOR
## Practice location
- **Address:** 609 HEMPHILL ST, SUITE 101, Fort Worth, TX 76104-4137
- **Phone:** (817) 923-8484 · **Fax:** (817) 923-8494
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 16, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1619003886) · Data from the CMS NPPES public registry.