Legacy Path LLC
NPI 1205693728 · Anatomic Pathology & Clinical Pathology Physician · South Bend, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Legacy Path LLC is a Anatomic Pathology & Clinical Pathology Physician organization in South Bend, IN (NPI 1205693728).
Provider details
- NPI number
- 1205693728
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Terry Pipp, Cfo(800) 288-8325
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-03-01
- Last updated
- 2024-06-21
- Certified
- 2024-06-21
Frequently asked questions
- What is Legacy Path LLC's NPI number?
- Legacy Path LLC's National Provider Identifier (NPI) is 1205693728, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Path LLC?
- Legacy Path LLC is classified in the NPPES registry as Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Legacy Path LLC located?
- Legacy Path LLC's practice location on file with NPPES is 3355 Douglas Rd, South Bend, IN 46635-1779.
- What is Legacy Path LLC's phone number?
- The practice phone number listed in the NPPES registry for Legacy Path LLC is (574) 234-4176.
- Does Legacy Path LLC accept Medicare?
- Legacy Path LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Legacy Path LLC?
- The authorized official listed on Legacy Path LLC's NPPES record is Terry Pipp, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Path LLC's NPI active?
- Yes — Legacy Path LLC's NPI (1205693728) is active in the NPPES registry as of the last update on 2024-06-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.