DR. PATRIN SUPPATKUL KONGKAEOW M.D.
NPI 1881034650
Internal Medicine in Cape Coral, FL

Q: What is Patrin Suppatkul Kongkaeow's NPI number?

The NPI number for Patrin Suppatkul Kongkaeow is 1881034650. It was assigned to this individual provider in the NPPES registry on June 26, 2013.

Q: What is Patrin Suppatkul Kongkaeow's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since June 26, 2013PECOS Enrolled

636 DEL PRADO BLVD, CAPE CORAL, FL 33990(239) 424-3123(239) 424-4041 Get Directions Write a Review

NPPES record last updated: June 26, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 26, 2020, May 28, 2020, Jan 3, 2019 and 1 more (4 updates tracked since 2016).

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About Dr. Patrin Suppatkul Kongkaeow M.d. NPPES

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

DR. PATRIN SUPPATKUL KONGKAEOW M.D. (NPI 1881034650) is an individual internal medicine provider in Cape Coral, Florida, licensed in Florida (ME128582) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881034650

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. PATRIN SUPPATKUL KONGKAEOWCredential: M.D.

Location Address636 DEL PRADO BLVDCape Coral, FL 33990-2695

Mailing Address13607 Pine Villa LnFort Myers, FL 33912-1617 · (239) 424-3123 · Fax (239) 424-4041

Phone(239) 424-3123

Fax(239) 424-4041

Sole ProprietorNo

Enumeration DateJune 26, 2013

Last NPPES UpdateJune 26, 20204 updates tracked since enumeration

NPPES CertifiedJune 26, 2020

✔ NPI 1881034650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME128582

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

636 DEL PRADO BLVD, Cape Coral, FL 33990

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Other Identifiers 1

Medicaid019030900FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Patrin Suppatkul Kongkaeow M.d. 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.

Medicare Billing Reassignments

Medicare enrollment records show Patrin Suppatkul Kongkaeow reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lee Memorial Health System

4.3 mi

Emergency Medicine

2780 CLEVELAND AVE, SUITE 705
Fort Myers, FL 33901

Reassigned Medicare billing, Florida enrollment
1,345 clinicians in this Medicare group

NPI 1134222532 (239) 334-5244

Cape Coral Hospitalists Inc

8.4 mi

Internal Medicine

13607 PINE VILLA LN
Fort Myers, FL 33912

Reassigned Medicare billing, Florida enrollment
139 clinicians in this Medicare group

NPI 1336209790 (239) 938-6192

Lee Health System Inc

9.3 mi

Internal Medicine

9981 S HEALTHPARK DR
Fort Myers, FL 33908

Reassigned Medicare billing, Florida enrollment
1,899 clinicians in this Medicare group

NPI 1942058557 (239) 424-1500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33990 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

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers20 claims20 services$3.57 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

MADISON JEAN BOUTHILLETTE

Pharmacist