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DR. PETER ANTHONY VASALLO III MD
NPI 1740982487
General Practice in The Villages, FL

Active since March 20, 2023PECOS Enrolled
1580 SANTA BARBARA BLVD, THE VILLAGES, FL 32159(352) 259-2159(352) 259-5731 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 2, 2026, Apr 13, 2026, Mar 20, 2023 (3 updates tracked since 2023).

About Dr. Peter Anthony Vasallo Iii Md NPPES

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

DR. PETER ANTHONY VASALLO III MD (NPI 1740982487) is an individual general practice provider in The Villages, Florida, licensed in Florida (ME180364) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Altamonte Springs, and is a graduate of Indiana University School Of Medicine (2022).

NPPES Registry Identity

NPI1740982487
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. PETER ANTHONY VASALLO IIICredential: MD
Location Address1580 SANTA BARBARA BLVDThe Villages, FL 32159-6827
Mailing Address1580 Santa Barbara BlvdThe Villages, FL 32159-6827 · (352) 259-2159 · Fax (352) 259-5731
Phone(352) 259-2159
Fax(352) 259-5731
Sole ProprietorYes
Medical School CMSIndiana University School Of MedicineGraduated 2022
Enumeration DateMarch 20, 2023
Last NPPES UpdateSeptember 2, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ NPI 1740982487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ME180364
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1580 SANTA BARBARA BLVD, The Villages, FL 32159
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Secondary Practice Location 1

Location 1321 Montgomery Rd Unit 161805Altamonte Springs, FL 32714-3121 · Phone (321) 279-0313

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Peter Anthony Vasallo Iii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779942214
PECOS Enrollment IDI20260622000700
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

2

Medicare enrollment records show Peter Vasallo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

All For Health PLLC
12 mi
Internal Medicine
33049 PROFESSIONAL DR STE 101
Leesburg, FL 34788
  • Reassigned Medicare billing, Florida enrollment
  • 9 clinicians in this Medicare group
NPI 1083307060 (352) 353-6797
Quality Physician Group PLLC
12 mi
Internal Medicine
33049 PROFESSIONAL DR STE 103
Leesburg, FL 34788
  • Reassigned Medicare billing, Florida enrollment
  • 11 clinicians in this Medicare group
NPI 1164906871 (352) 353-6967

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

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. BROOKE E ALEXANDER DO
Family Medicine
1580 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Lake County No phone listed
PREMIER MEDICAL ASSOCIATES OF FLORIDA HEALTHCARE, PA
Internal Medicine
1580 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Lake County (352) 259-2159
JAIME LEAVITT MSN, APRN, FNP-C
Nurse Practitioner (Family)
1580 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Lake County (352) 259-2159
SARAH DENION
Physician Assistant
1580 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Lake County (352) 259-2159
EVELYN LOIS HARRIS ARNP
Nurse Practitioner (Family)
1580 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Lake County (352) 259-2159
MR. FAUSTO ROBERTO CARRASQUILLO P.A.
Physician Assistant
1580 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Lake County (352) 259-2159
PREMIER PSYCH LLC
Psychiatry & Neurology (Psychiatry)
1580 SANTA BARBARA BLVD
THE VILLAGES, FL 32159
Lake County (352) 259-2159
PREMIER MEDICAL ASSOCIATES ALL FLORIDA, LLC
Internal Medicine
1580 SANTA BARBARA BLVD, SUITE C
THE VILLAGES, FL 32159
Lake County (352) 259-2159

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 Peter Vasallo's NPI number?

The NPI number for Peter Vasallo is 1740982487. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Peter Vasallo located?

Peter Vasallo practices at 1580 Santa Barbara Blvd, The Villages, FL 32159. The listed phone number is (352) 259-2159.

What is Peter Vasallo's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Peter Vasallo enrolled in Medicare?

Yes. Peter Vasallo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Peter Vasallo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Vasallo reassigns Medicare benefits to 2 organizations: All For Health PLLC (Leesburg, FL) and Quality Physician Group PLLC (Leesburg, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peter Vasallo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Peter Vasallo was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.