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KASENG DEREK CHAN-PONG MD
NPI 1316937535
Internal Medicine - Gastroenterology in Melbourne, FL

Active since October 27, 2005
1223 GATEWAY DR STE B, MELBOURNE, FL 32901(321) 725-4500(321) 952-2330 Get Directions Write a Review

NPPES record last updated: April 4, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 4, 2019, Apr 30, 2018 (2 updates tracked since 2018).

About Kaseng Derek Chan-pong Md NPPES

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

KASENG DEREK CHAN-PONG MD (NPI 1316937535) is an individual gastroenterology provider in Melbourne, Florida, licensed in Florida (ME73216) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1316937535
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameKASENG DEREK CHAN-PONGCredential: MD
Location Address1223 GATEWAY DR STE BMelbourne, FL 32901-2607
Mailing Address3300 S Fiske BlvdRockledge, FL 32955-4306 · (321) 361-5613 · Fax (321) 951-7408
Phone(321) 725-4500
Fax(321) 952-2330
Sole ProprietorNo
Enumeration DateOctober 27, 2005
Last NPPES UpdateApril 4, 20192 updates tracked since enumeration
✔ NPI 1316937535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · ME73216
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1223 GATEWAY DR STE B, Melbourne, FL 32901
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Other Names 1

Other Name (5)K Derek Chan-pong Md

Other Identifiers 2

Medicaid259780200FL
Other49928YFL · Medicare

Other Providers at the Same Location NPPES

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

SHAHRBANOO F NOORI MD
Surgery
1223 GATEWAY DR STE B
MELBOURNE, FL 32901
Brevard County (321) 725-4500

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 Kaseng Chan-pong's NPI number?

The NPI number for Kaseng Chan-pong is 1316937535. It was assigned to this individual provider in the NPPES registry on October 27, 2005. The provider is also known as K Derek Chan-Pong MD.

Where is Kaseng Chan-pong located?

Kaseng Chan-pong practices at 1223 Gateway Dr Ste B, Melbourne, FL 32901. The listed phone number is (321) 725-4500.

What is Kaseng Chan-pong's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Kaseng Chan-pong was last updated on April 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.