Legend Internal Medicine, Urgent Care & Diagnostic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

M5959 Issued in TX

Legal business name

LEGEND INTERNAL MEDICINE, URGENT CARE & DIAGNOSTIC

Practice address

609 Hemphill St
Suite 101
Fort Worth, TX 76104-4137

Phone

(817) 923-8484

Fax

(817) 923-8494

NPI assigned

Feb 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Fidelis K Unini, M.DNPI 1083654438

Title

Medical Director

Phone

(817) 301-2053

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25496/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fidelis Kanayo Unini, MD

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1083654438
  Medicare reassignment Care Compare group Authorized official
• Nkiruka Adeline Unini, FNP

  • Family Nurse Practitioner
  • Fort Worth, TX
  • NPI 1265677926
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1619003886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 HEMPHILL ST",
            "address_2": "SUITE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044137",
            "telephone_number": "817-923-8484",
            "fax_number": "817-923-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 HEMPHILL ST",
            "address_2": "SUITE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044137",
            "telephone_number": "817-923-8484",
            "fax_number": "817-923-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGEND INTERNAL MEDICINE, URGENT CARE & DIAGNOSTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-24",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "UNINI",
        "authorized_official_first_name": "FIDELIS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "817-301-2053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "M5959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Legacy Neurology & Sleep of North Texas
• Engelyn Legaspi
• Patrick Lege, RN
• Legend Billing Network
• Legend Hospice Inc.
• Hayden Skeet Leggett
• Justine Elena Legrand, CPM, LM
• Lee Norris Legrice, PHD, LCSW
• Marion S Legros, CRNA
• Claudio Straus Lehmann, M.D.

• Primary Care Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.