Individual provider Active NPI

Igor V Legostaev, M.D.

  • Hospitalist Physician
  • San Antonio, TX
National Provider Identifier
1982634648
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
U0150 Issued in TX
Practice address
344 Funston PL
San Antonio, TX 78209-6819
Phone
(706) 767-3688
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 58067 GA
Hospitalist Physician 208M00000X U0150 TX Primary

Addresses

Primary practice location

344 Funston PL
San Antonio, TX 78209-6819

Mailing address

344 Funston PL
San Antonio, TX 78209-6819
Phone (706) 767-3688

Other identifiers 1

IdentifierTypeStateIssuer
P00637907OtherGARR MEDICARE

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230109001066 TX Practitioner - Internal Medicine 6406859313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of TX, PLLCGroup PAC ID 3274998067, 376 clinicians

Practice addresses (Care Compare)

1139 E Sonterra Blvd
San Antonio, TX 78258-4347
Phone (210) 638-2000

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U0150TXMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Services of TX, PLLC Hospitalist CurrentSince Apr 1, 2023 Accepting new patients
Adventist Health System Georgia Inc Past Accepting new patients
Ecc Hospitalist Services PC Internal Medicine Past Accepting new patients
Redmond Hospital Services LLC Past Accepting new patients
Methodist Healthcare System of San Antonio LTD LLP Past Accepting new patients

Locations

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110

Interoperability endpoints

  • Direct secure messaging: legostai@yourcarecommunity.org

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1982634648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 FUNSTON PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782096819",
            "telephone_number": "706-767-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 FUNSTON PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782096819",
            "telephone_number": "706-767-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGOSTAEV",
        "first_name": "IGOR",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "58067",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "U0150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00637907",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.