Legacy Internal Medicine LLC
NPI 1528345162 · Internal Medicine Physician · Mount Pleasant, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Legacy Internal Medicine LLC is a Internal Medicine Physician organization in Mount Pleasant, SC (NPI 1528345162).
Provider details
- NPI number
- 1528345162
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tina Botelho, Physician/Owner(843) 606-9199
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
14 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
- 2011-11-10
- Last updated
- 2025-04-15
- Certified
- 2025-04-15
Frequently asked questions
- What is Legacy Internal Medicine LLC's NPI number?
- Legacy Internal Medicine LLC's National Provider Identifier (NPI) is 1528345162, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Internal Medicine LLC?
- Legacy Internal Medicine LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Legacy Internal Medicine LLC located?
- Legacy Internal Medicine LLC's practice location on file with NPPES is 550 Long Point Rd Ste 100, Mount Pleasant, SC 29464-8000.
- What is Legacy Internal Medicine LLC's phone number?
- The practice phone number listed in the NPPES registry for Legacy Internal Medicine LLC is (843) 606-9199.
- Does Legacy Internal Medicine LLC accept Medicare?
- Legacy Internal Medicine 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 Internal Medicine LLC?
- The authorized official listed on Legacy Internal Medicine LLC's NPPES record is Tina Botelho, Physician/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Internal Medicine LLC's NPI active?
- Yes — Legacy Internal Medicine LLC's NPI (1528345162) is active in the NPPES registry as of the last update on 2025-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.