Legacy Medical PLLC
NPI 1609647866ActiveOrganization· Internal Medicine, Nephrology· Palm Beach Gardens, FL
Internal Medicine, Nephrology in Palm Beach Gardens, Florida, registered in NPPES in January 2024. The authorized official on file is Yana Shtern, MD, Authorized Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1609647866 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 15, 2024 |
| Last updated in NPPES | Jan 15, 2024 |
| Certified by provider | Jan 15, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | — | — |
| Internal Medicine | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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