Active NPI
Gustavo Vallejo, MD
- Endocrinology, Diabetes & Metabolism Physician
- Melbourne, FL
National Provider Identifier
1174325559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- ME172712
- Practice address
- 1344 S Apollo Blvd Ste 2a
Melbourne, FL 32901-3183 - Phone
- (321) 722-9731
- Fax
- (321) 308-0496
- NPI assigned
- Mar 26, 2025
- Last updated
- Apr 8, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME172712 | NU | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ME172712 | FL | Primary |
| General Practice Physician | 208D00000X | ME172712 | NU |
Addresses
Primary practice location
1344 S Apollo Blvd Ste 2a
Melbourne, FL 32901-3183
Mailing address
1344 S Apollo Blvd Ste 406
Melbourne, FL 32901-3185
Phone (321) 727-2990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1344 S Apollo Blvd
Suite D
Melbourne, FL 32901-3180
Phone (321) 724-1084
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME172712 | FL | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Healthcare, Inc. | Single Specialty | Current | Accepting new patients |
Locations
1344 S Apollo Blvd
Ste 406
Melbourne, FL 32901
Phone (321) 253-4032
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1174325559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1344 S APOLLO BLVD STE 406",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013185",
"telephone_number": "321-727-2990",
"fax_number": "321-724-0455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1344 S APOLLO BLVD STE 2A",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013183",
"telephone_number": "321-722-9731",
"fax_number": "321-308-0496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLEJO",
"first_name": "GUSTAVO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-03-26",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": "ME172712",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "FL",
"license": "ME172712",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": "ME172712",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.