Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: What is Peter Vasallo's specialty?

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

Q: 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 22 days 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.

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: September 20, 2026.

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

On this page

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

Open in Google Maps ↗

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, 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.

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