Active NPI
Hongfei Di, M.D.
- Family Medicine Physician
- St Augustine, FL
National Provider Identifier
1154717551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME155199
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME155199 | FL | MD | Family Medicine Physician |
| 35133230 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suhas LLC | Past | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.