LEGACY HEALTH MEDICAL GROUP, LLC
NPI 1881942779
Clinic/Center - Multi-Specialty in Largo, FL
About Legacy Health Medical Group, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEGACY HEALTH MEDICAL GROUP, LLC (NPI 1881942779) is a healthcare organization registered as a multi-specialty in Largo, Florida and active in the NPI registry since August 2012. The organization lists Sunit Srivastava, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 8
Other Identifiers 1
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)
Legacy Health Medical Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
21Medicare enrollment records show 21 clinicians reassign Medicare billing to Legacy Health Medical Group, LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 13 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 21Tampa, FL 33607
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 Medical Group, LLC's NPI number?
The NPI number for Legacy Health Medical Group, LLC is 1881942779. It was assigned to this organization in the NPPES registry on August 27, 2012.
Where is Legacy Health Medical Group, LLC located?
Legacy Health Medical Group, LLC is located at 801 W Bay Dr Ste 605, Largo, FL 33770. The listed phone number is (727) 489-3305.
What is Legacy Health Medical Group, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Legacy Health Medical Group, LLC enrolled in Medicare?
Yes. Legacy Health Medical Group, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Legacy Health Medical Group, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 4 Medicare specialties reassign their Medicare billing to Legacy Health Medical Group, 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. The largest specialties are Nurse Practitioner (12), Internal Medicine (6) and Family Practice (2). Of these, 4 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Legacy Health Medical Group, LLC accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Legacy Health Medical Group, LLC 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 Legacy Health Medical Group, LLC was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 Medical Group, Llc · NPI 1881942779
Multi-Specialty organization in Largo, Florida. Organization record, active in the CMS NPPES registry since August 27, 2012.
## Identity
- **NPI:** 1881942779 (Entity type: Organization)
- **Enumerated:** August 27, 2012
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Sunit Srivastava, MANAGING MEMBER
## Practice location
- **Address:** 801 W BAY DR STE 605, Largo, FL 33770-3268
- **Phone:** (727) 489-3305 · **Fax:** (727) 499-9559
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 21 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (12), Internal Medicine (6), Family Practice (2); 4 practice at this address and 13 within 10 miles; [full list](https://npiprofile.com/npi/1881942779/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 26, 2025
- **Other identifiers:** Other ME105069 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1881942779) · Data from the CMS NPPES public registry.