GONZALO T FLORIDO (M.D.) – Internal Medicine Physician, NPI 1063552990

GONZALO T FLORIDO (M.D.) is a healthcare provider. based in Kentland, Indiana. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 36074510 (IL). The NPI Number for GONZALO T FLORIDO (M.D.) is 1063552990

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
GONZALO T FLORIDO (M.D.)
NPI
1063552990
Phone
(219) 474-5464
Address
303 N 7TH ST
Enumeration Date
8 February 2007
Last Update Date
13 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8154325411
Graduation Year
1978 (48 years ago)
PAC ID
1759273345
Group Practice PAC ID
4385551258
Professional Enrollment ID
I20040329000088

Contacts

Secure Messaging
gonzalo.florido.1@15486.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

Provider Addresses for GONZALO T FLORIDO (M.D.)

  • 303 N 7TH ST

    KENTLAND, IN 479511379

    Phone: (219) 474-5464

    Fax: (219) 474-3603

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 56 Open Payments records for all available years, with a total value of $1,489.

Total Amount is formed as General ($1,489) + Research ($0) + Ownership ($0) = $1,489.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($846).

Total Amount

$1,489

General + Research + Ownership

Payments

56

Total payment records

General Amount

$1,489

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-03-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040329000088IInternal MedicineILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 47951)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385551258View full group profile

Reviews

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Frequently asked questions

What is the registry number for GONZALO T FLORIDO (M.D.)?
The registry entry for GONZALO T FLORIDO (M.D.) shows NPI 1063552990.
Does the public listing show GONZALO T FLORIDO (M.D.) as active?
GONZALO T FLORIDO (M.D.)'s NPI record reflects an active status in NPPES.
What type of care does GONZALO T FLORIDO (M.D.) provide?
GONZALO T FLORIDO (M.D.)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to GONZALO T FLORIDO (M.D.)?
The directory associates GONZALO T FLORIDO (M.D.) with Kentland, Indiana. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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