Individual provider Active NPI

Hongfei Di, M.D.

  • Family Medicine Physician
  • St Augustine, FL
National Provider Identifier
1154717551
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME155199 Issued in FL
Practice address
125 Land Grant St
Suite 2
Saint Augustine, FL 32092
Phone
(904) 659-9818
Fax
(904) 850-8078
NPI assigned
Apr 13, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 35133230 OH
Family Medicine Physician 207Q00000X ME155199 FL Primary

Addresses

Primary practice location

125 Land Grant St
Suite 2
Saint Augustine, FL 32092

Mailing address

125 Land Grant St
Suite 2
Saint Augustine, FL 32092
Phone (904) 659-9818

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.
Opted out of Medicare
Yes, effective Jul 25, 2024 through Jul 25, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME155199FLMDFamily Medicine Physician
35133230OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suhas LLC PastSince Sep 20, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1154717551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LAND GRANT ST",
            "address_2": "SUITE 2",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "32092",
            "telephone_number": "904-659-9818",
            "fax_number": "904-850-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LAND GRANT ST",
            "address_2": "SUITE 2",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "32092",
            "telephone_number": "904-659-9818",
            "fax_number": "904-850-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DI",
        "first_name": "HONGFEI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35133230",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME155199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.