Kennedy Legel, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

1911 Issued in TX

Practice address

4228 N Central Expy Ste 210
Dallas, TX 75206-6556

Phone

(214) 366-4600

Fax

(214) 366-4603

NPI assigned

Feb 10, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kennedy.legel.1@17844.direct.athenahealth.com

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

• Kennedy Legel, DPM, PLLC

  dba Advanced Foot & Ankle Care Specialists

  • Foot & Ankle Surgery Podiatrist
  • Dallas, TX
  • NPI 1457785412
  Medicare reassignment NPD Authorized official
• Academy Foot and Ankle Specialists at Keller PLLC

  • Foot & Ankle Surgery Podiatrist
  • Keller, TX
  • NPI 1346477304
  NPD (past)

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1558500801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 N CENTRAL EXPY STE 210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752066556",
            "telephone_number": "214-366-4600",
            "fax_number": "214-366-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 N CENTRAL EXPY STE 210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752066556",
            "telephone_number": "214-366-4600",
            "fax_number": "214-366-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGEL",
        "first_name": "KENNEDY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-10",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "P03358",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX STATE LIC",
            "identifier": "1911",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Legacy Injury Care
• Legacy Speech Group PLLC
• Legacy Women's Clinic,PLLC
• Legacy Womens Health PLLC
• Gene Marie Legaspi, AGACNP
• Legend Rehabilitation
• Patrice Ann Leger-Nicholson, RNC WHCNP
• Erica Noelle Leger, PHARM.D.
• Claire C Leggatt, M.D.
• Leslie Michelle Leggett, ACNP

• Foot & Ankle Surgery Podiatrist in Dallas, TX
• Providers in Dallas, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.