HEIDI LAI DO
NPI 1942888326
Family Medicine in St Petersburg, FL

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment
5405 PARK ST N, ST PETERSBURG, FL 33709(727) 547-8425(813) 635-2699 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 6, 2024, Jun 24, 2024, Mar 29, 2021 (3 updates tracked since 2021).

About Heidi Lai Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEIDI LAI DO (NPI 1942888326) is an individual family medicine provider in St Petersburg, Florida, licensed in Florida (OS20486) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with St Anthonys Hospital, and maintains a secondary practice location in Seminole.

NPPES Registry Identity

NPI1942888326
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameHEIDI LAICredential: DO
Location Address5405 PARK ST NSt Petersburg, FL 33709-1044
Mailing Address2995 Drew St Fl 2Clearwater, FL 33759-3012 · (727) 315-7496
Fax(813) 635-2699
Sole ProprietorYes
Medical School CMSAlabama College Of Osteopathic MedicineGraduated 2021
Enumeration DateMarch 29, 2021
Last NPPES UpdateSeptember 6, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2024
NPI 1942888326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · OS20486
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5405 PARK ST N, St Petersburg, FL 33709

Secondary Practice Location 1

Location 110799 Park BlvdSeminole, FL 33772-5420 · Phone (727) 547-8425

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Heidi Lai Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052851730
PECOS Enrollment IDI20240909002715
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Anthonys Hospital

Acute Care Hospitals · Saint Petersburg, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100067
Location1200 Seventh Ave NSaint Petersburg, FL 33705 · Pinellas County
Emergency services

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100127
Location300 Pinellas StClearwater, FL 33756 · Pinellas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33709 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
5405 PARK ST N
ST PETERSBURG, FL 33709
Family Medicine
5405 PARK ST N
ST PETERSBURG, FL 33709
Internal Medicine
5405 PARK ST N
ST PETERSBURG, FL 33709
Clinic/Center (Primary Care)
5405 PARK ST N
SAINT PETERSBURG, FL 33709
Nurse Practitioner (Family)
5405 PARK ST N
SAINT PETERSBURG, FL 33709

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heidi Lai's NPI number?

The NPI number for Heidi Lai is 1942888326. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Heidi Lai located?

Heidi Lai practices at 5405 Park St N, St Petersburg, FL 33709. The listed phone number is (727) 547-8425.

What is Heidi Lai's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Heidi Lai enrolled in Medicare?

Yes. Heidi Lai is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Heidi Lai accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 1 other insurer list Heidi Lai as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Heidi Lai affiliated with any hospitals?

According to CMS data, Heidi Lai is affiliated with St Anthonys Hospital, St Josephs Hospital and Morton Plant Hospital.

When was this NPI record last updated?

The NPPES record for Heidi Lai was last updated on September 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.