LEGACY MEDICAL CLINIC
NPI 1932885126
Family Medicine in Edinburg, TX

Active since June 23, 2023CLIA 45D2282809 · Accreditation
1506 S LONE STAR WAY STE 7, EDINBURG, TX 78539(956) 348-2918(956) 348-2927 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 3, 2023, Jun 23, 2023 (2 updates tracked since 2023).

About Legacy Medical Clinic NPPES

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

LEGACY MEDICAL CLINIC (NPI 1932885126) is a healthcare organization registered as a family medicine in Edinburg, Texas and active in the NPI registry since June 2023. The organization holds an CLIA Accreditation certificate valid through June 10, 2028 and lists Leroy Moreno, Owner, as its authorized official.

NPPES Registry Identity

NPI1932885126
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLEROY MORENO PA-C PLLC
Location Address1506 S LONE STAR WAY STE 7Edinburg, TX 78539-4977
Mailing Address1506 Lonestar Plaza Way Ste 7Edinburg, TX 78539
Fax(956) 348-2927
Organization SubpartNo
Authorized OfficialLeroy MorenoOwner · (956) 648-5011
Enumeration DateJune 23, 2023
Last NPPES UpdateJuly 3, 20232 updates tracked since enumeration
NPPES CertifiedJuly 3, 2023
✔ NPI 1932885126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
1506 S LONE STAR WAY STE 7, Edinburg, TX 78539

Other Names 1

Doing Business AsLegacy Medical Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Medical Clinic 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 Medical Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1407888753
301 N MAIN ST SUITE 3
Mcallen, TX 78501
(956) 686-0304
✔ PECOS✔ Accepts Medicare6.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 45D2282809

Legacy Medical Clinic · Edinburg, TX
Active · expires Jun 10, 2028
CLIA Number45D2282809
Laboratory TypePractitioner Other
Certificate Effective DateJune 11, 2026
Certificate Expiration DateJune 10, 2028
Laboratory DirectorDr. Donna Joule
Laboratory Phone(956) 648-5011
Laboratory LocationLegacy Medical Clinic1506 S Lone Star Way Ste 7, Edinburg, TX 78539
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Leroy Moreno Pa-C PLLC's NPI number?

The NPI number for Leroy Moreno Pa-C PLLC is 1932885126. It was assigned to this organization in the NPPES registry on June 23, 2023. The provider is doing business as Legacy Medical Clinic.

Where is Leroy Moreno Pa-C PLLC located?

Leroy Moreno Pa-C PLLC is located at 1506 S Lone Star Way Ste 7, Edinburg, TX 78539. The listed phone number is (956) 348-2918.

What is Leroy Moreno Pa-C PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Leroy Moreno Pa-C PLLC enrolled in Medicare?

Yes. Leroy Moreno Pa-C PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Leroy Moreno Pa-C PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Leroy Moreno Pa-C PLLC. 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.

Does Leroy Moreno Pa-C PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 45D2282809) is associated with this NPI, valid through June 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Leroy Moreno Pa-C PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas and WellPoint list Leroy Moreno Pa-C PLLC 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 Leroy Moreno Pa-C PLLC was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.