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MICHAEL EDWARD VASSOLAS DO
NPI 1386404564
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since March 22, 2024PECOS Enrolled
4170 CITY AVE, PHILADELPHIA, PA 19131(215) 871-6100 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Edward Vassolas Do NPPES

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

MICHAEL EDWARD VASSOLAS DO (NPI 1386404564) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386404564
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMICHAEL EDWARD VASSOLASCredential: DO
Location Address4170 CITY AVEPhiladelphia, PA 19131-1610
Mailing Address6408 Sentinel RdgNorristown, PA 19403-5281 · (518) 461-8269
Phone(215) 871-6100
Sole ProprietorNo
Enumeration DateMarch 22, 2024
NPPES CertifiedMarch 20, 2024
✔ NPI 1386404564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4170 CITY AVE, Philadelphia, PA 19131
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Edward Vassolas Do 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.

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.

DR. JAWAD AHMAD DO
Student in an Organized Health Care Education/Training Program
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6100
COURTNEY HARTWELL
Physician Assistant
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6100
SHAINA YADAV
Physician Assistant
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6100
SIMONA KOGAN
Student in an Organized Health Care Education/Training Program
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6100
ALICE VO
Student in an Organized Health Care Education/Training Program
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6100
BRIANNA BECKER
Physician Assistant
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6380
DANIELA D MARINARO
Orthopaedic Surgery
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6700
ZUHRA NASSERY
Physician Assistant (Surgical)
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6100

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 Michael Vassolas's NPI number?

The NPI number for Michael Vassolas is 1386404564. It was assigned to this individual provider in the NPPES registry on March 22, 2024.

Where is Michael Vassolas located?

Michael Vassolas practices at 4170 City Ave, Philadelphia, PA 19131. The listed phone number is (215) 871-6100.

What is Michael Vassolas's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Michael Vassolas enrolled in Medicare?

Yes. Michael Vassolas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Vassolas was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.