NPIMap

Individual provider Active NPI

Qixia Huang, M.D.

  • Internal Medicine Physician
  • St Augustine, FL
National Provider Identifier
1215039870
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME78764 Issued in FL
Practice address
1301 Plantation Island Dr S Ste 102a
St Augustine, FL 32080-3109
Phone
(904) 471-5626
Fax
(904) 461-8796
NPI assigned
Sep 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME78764 FL Primary

Addresses

Primary practice location

1301 Plantation Island Dr S Ste 102a
St Augustine, FL 32080-3109

Mailing address

1301 Plantation Island Dr S Ste 102a
St Augustine, FL 32080-3109
Phone (904) 471-5626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040626000011 FL Practitioner - Internal Medicine 1052397619 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
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1301 Plantation Island Dr S
Suite 102a
St Augustine, FL 32080-3109
Phone (904) 471-5626

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as apm
Quality
77.66
Promoting interoperability
70.54
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME78764FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Qixia Huang, M.D., P.a. CurrentSince Nov 21, 2003 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1301 Plantation Island Dr S
Ste 102A
Saint Augustine, FL 32080
Phone (904) 471-5626

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215039870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PLANTATION ISLAND DR S STE 102A",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320803109",
            "telephone_number": "904-471-5626",
            "fax_number": "904-461-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PLANTATION ISLAND DR S STE 102A",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320803109",
            "telephone_number": "904-471-5626",
            "fax_number": "904-461-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "QIXIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME78764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.