Individual provider Active NPI

Kevin Edward Legendre, MD

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1417957952
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
H8202 Issued in TX
Practice address
2313 Kingston St
Houston, TX 77019-6415
Phone
(713) 417-7533
NPI assigned
Jul 27, 2005
Last updated
Jun 27, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X H8202 TX Primary

Addresses

Primary practice location

2313 Kingston St
Houston, TX 77019-6415

Mailing address

2313 Kingston St
Houston, TX 77019-6415
Phone (713) 417-7533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0058631MDMDNephrology Physician
H8202TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Med Tel International Corporation Past Accepting new patients
Post Oak Imaging LLC Past Accepting new patients
Med Tel International Corporation Past Accepting new patients
DRH & Associates, Inc PastSince May 14, 2021 Accepting new patients
Med Tel International Corporation Past Accepting new patients
Comfort Image 2, LTD PastSince Jun 15, 2007 Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1417957952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 KINGSTON ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770196415",
            "telephone_number": "713-417-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 KINGSTON ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770196415",
            "telephone_number": "713-417-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGENDRE",
        "first_name": "KEVIN",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "H8202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.