PHASIN LADAPONG GONZALEZ
NPI 1962203240
Internal Medicine in Tallahassee, FL

Active since March 21, 2025PECOS Enrolled
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308(850) 431-7900(850) 431-7990 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 30, 2025, Mar 21, 2025 (2 updates tracked since 2025).

About Phasin Ladapong Gonzalez NPPES

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

PHASIN LADAPONG GONZALEZ (NPI 1962203240) is an individual internal medicine provider in Tallahassee, Florida, licensed in Florida (43737) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962203240
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePHASIN LADAPONG GONZALEZ
Location Address1300 MICCOSUKEE RDTallahassee, FL 32308-5054
Mailing Address1401 Centerville Rd Ste 107Tallahassee, FL 32308-4638 · (850) 431-5567 · Fax (850) 431-5563
Fax(850) 431-7990
Sole ProprietorNo
Enumeration DateMarch 21, 2025
Last NPPES UpdateJune 30, 20252 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
NPI 1962203240 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 · 43737
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.
1300 MICCOSUKEE RD, Tallahassee, FL 32308

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Phasin Ladapong Gonzalez 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 32308 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.

Radiology (Diagnostic Radiology)
1300 MICCOSUKEE RD
TALLAHASSEE, FL 32308
Physician Assistant
1300 MICCOSUKEE RD
TALLAHASSEE, FL 32308
Nurse Practitioner
1300 MICCOSUKEE RD
TALLAHASSEE, FL 32308
Family Medicine
1300 MICCOSUKEE RD, HOSPITALIST GROUP
TALLAHASSEE, FL 32308
Student in an Organized Health Care Education/Training Program
1300 MICCOSUKEE RD
TALLAHASSEE, FL 32308
Student in an Organized Health Care Education/Training Program
1300 MICCOSUKEE RD
TALLAHASSEE, FL 32308
Student in an Organized Health Care Education/Training Program
1300 MICCOSUKEE RD
TALLAHASSEE, FL 32308
Speech-Language Pathologist
1300 MICCOSUKEE RD
TALLAHASSEE, FL 32308

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 Phasin Gonzalez's NPI number?

The NPI number for Phasin Gonzalez is 1962203240. It was assigned to this individual provider in the NPPES registry on March 21, 2025.

Where is Phasin Gonzalez located?

Phasin Gonzalez practices at 1300 Miccosukee Rd, Tallahassee, FL 32308. The listed phone number is (850) 431-7900.

What is Phasin Gonzalez's specialty?

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

Is Phasin Gonzalez enrolled in Medicare?

Yes. Phasin Gonzalez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phasin Gonzalez was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.