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DR. PETER ANTHONY VASALLO III MD
NPI 1740982487
General Practice in Altamonte Springs, FL

Active since March 20, 2023PECOS Enrolled
321 MONTGOMERY RD UNIT 161805, ALTAMONTE SPRINGS, FL 32714(321) 279-0313 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 13, 2026, Mar 20, 2023 (2 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 Altamonte Springs, Florida, licensed in Florida (ME180364) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS 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 Address321 MONTGOMERY RD UNIT 161805Altamonte Springs, FL 32714-3121
Mailing Address321 Montgomery Rd Unit 161805Altamonte Springs, FL 32714-3121
Phone(321) 279-0313
Sole ProprietorYes
Medical School CMSIndiana University School Of MedicineGraduated 2022
Enumeration DateMarch 20, 2023
Last NPPES UpdateApril 13, 20262 updates tracked since enumeration
NPPES CertifiedApril 13, 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
321 MONTGOMERY RD UNIT 161805, Altamonte Springs, FL 32714
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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)

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.

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 321 Montgomery Rd Unit 161805, Altamonte Springs, FL 32714. The listed phone number is (321) 279-0313.

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.

When was this NPI record last updated?

The NPPES record for Peter Vasallo was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.