PASSISD LAOVEERAVAT MD
NPI 1740701002
Internal Medicine - Gastroenterology in Jacksonville, FL

Q: What is Passisd Laoveeravat's NPI number?

The NPI number for Passisd Laoveeravat is 1740701002. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Q: What is Passisd Laoveeravat's specialty?

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

Active since June 27, 2017PECOS Enrolled

4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2025, Jul 21, 2022, Jul 28, 2017 and 1 more (4 updates tracked since 2017).

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About Passisd Laoveeravat Md NPPES

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

PASSISD LAOVEERAVAT MD (NPI 1740701002) is an individual gastroenterology provider in Jacksonville, Florida, licensed in Florida (ME173483) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lubbock.

NPPES Registry Identity

NPI1740701002

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NamePASSISD LAOVEERAVATCredential: MD

Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865

Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (904) 953-2000

Phone(904) 953-2000

Sole ProprietorYes

Enumeration DateJune 27, 2017

Last NPPES UpdateJune 12, 20254 updates tracked since enumeration

NPPES CertifiedJune 12, 2025

✔ NPI 1740701002 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 · ME173483

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.

4500 SAN PABLO RD S, Jacksonville, FL 32224

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Secondary Practice Location 1

Location 13601 4th St # MS 9410Lubbock, TX 79430-0002 · Phone (806) 743-3381

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Passisd Laoveeravat Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32224 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

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 20

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

KATHERINE L WALSH PA-C/MPH

Physician Assistant