Legacy Primary Care
NPI 1841090735 · Primary Care Clinic/Center · Northglenn, CO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Legacy Primary Care is a Primary Care Clinic/Center organization in Northglenn, CO (NPI 1841090735).
Provider details
- NPI number
- 1841090735
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Deric Rachjaibun, Owner(720) 928-0244
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
- 2025-03-18
- Last updated
- 2025-03-18
- Certified
- 2025-03-18
Frequently asked questions
- What is Legacy Primary Care's NPI number?
- Legacy Primary Care's National Provider Identifier (NPI) is 1841090735, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Primary Care?
- Legacy Primary Care is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Legacy Primary Care located?
- Legacy Primary Care's practice location on file with NPPES is 11990 Grant St Ste 110, Northglenn, CO 80233-1122.
- What is Legacy Primary Care's phone number?
- The practice phone number listed in the NPPES registry for Legacy Primary Care is (720) 928-0244.
- Does Legacy Primary Care accept Medicare?
- Legacy Primary Care 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 Primary Care?
- The authorized official listed on Legacy Primary Care's NPPES record is Deric Rachjaibun, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Primary Care's NPI active?
- Yes — Legacy Primary Care's NPI (1841090735) is active in the NPPES registry as of the last update on 2025-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.