Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Basant M Farghaly, MD

Individual provider Family Medicine Physician · NPI 1104945872

Basant M Farghaly, MD is a Family Practice in St Augustine, Florida. Graduated from Southern Illinois University School of Medicine in 2007, 19 years ago. Practices with Health First Privia Medical Group, a 246-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
19
Trained at
Southern Illinois University School of Medicine
Licensed in
FL
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3100 US Highway 1 S Ste 4
St Augustine, FL 32086-6310
Phone: (904) 810-8063
Fax: (904) 621-9230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME97900 (FL)

Record details

NPI number1104945872
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2007
Last updated in NPPESOctober 4, 2022
Certification dateOctober 4, 2022
Mailing address3300 S Fiske Blvd, Rockledge, FL 32955-4306

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Health First Privia Medical Group — 246 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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