Legacy Health Medical Group, LLC
NPI 1881942779 · Multi-Specialty Clinic/Center · Largo, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Legacy Health Medical Group, LLC is a Multi-Specialty Clinic/Center organization in Largo, FL (NPI 1881942779).
Provider details
- NPI number
- 1881942779
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sunit Srivastava, Managing Member(727) 644-1540
Specialties & taxonomies
Ambulatory Health Care Facilities
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
- Gerontology Nurse Practitioner363LG0600X
Physician Assistants & Advanced Practice Nursing Providers
- Wound Care Registered Nurse163WW0000X
Nursing Service Providers
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- General Practice Physician208D00000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
- 2012-08-27
- Last updated
- 2025-09-26
- Certified
- 2025-09-26
Frequently asked questions
- What is Legacy Health Medical Group, LLC's NPI number?
- Legacy Health Medical Group, LLC's National Provider Identifier (NPI) is 1881942779, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Health Medical Group, LLC?
- Legacy Health Medical Group, LLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Legacy Health Medical Group, LLC located?
- Legacy Health Medical Group, LLC's practice location on file with NPPES is 801 W Bay Dr Ste 605, Largo, FL 33770-3268.
- What is Legacy Health Medical Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Legacy Health Medical Group, LLC is (727) 489-3305.
- Does Legacy Health Medical Group, LLC accept Medicare?
- Legacy Health Medical Group, 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 Health Medical Group, LLC?
- The authorized official listed on Legacy Health Medical Group, LLC's NPPES record is Sunit Srivastava, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Health Medical Group, LLC's NPI active?
- Yes — Legacy Health Medical Group, LLC's NPI (1881942779) is active in the NPPES registry as of the last update on 2025-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.