Individual provider Active NPI

Peter J Vassallo, M.D.

  • Cardiovascular Disease Physician
  • Pinehurst, NC
National Provider Identifier
1760429773
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
9600761 Issued in NC
Practice address
7 Regional Cir
Pinehurst, NC 28374-9796
Phone
(910) 715-8600
Fax
(910) 715-8613
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCPC-5 LLC 31 clinicians

Practice addresses (Care Compare)

108 Endo LN
Suite 1
Hamlet, NC 28345-4567
Phone (910) 417-4105

155 Memorial Dr
Pinehurst, NC 28374-8710
Phone (910) 715-7650

7 Regional Cir
Pinehurst, NC 28374-9796
Phone (910) 715-8600

Hospital & facility affiliations

  • Firsthealth Moore Regional Hospital Hospital, Pinehurst, NC, CCN 340115

Merit-based Incentive Payment System (MIPS)

Final score
81.95 of 100Reported as group
Quality
65.05
Promoting interoperability
78
Improvement activities
40
Cost
87.57

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050422001180 NC Practitioner - Cardiovascular Disease (Cardiology) 0840238416 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9600761NCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCPC-5, LLC Cardiovascular Disease Current Accepting new patients
MCPC-5, LLC Cardiovascular Disease CurrentSince Oct 1, 2012 Accepting new patients
MCPC-5, LLC Cardiovascular Disease CurrentSince Oct 1, 2012 Accepting new patients
Pinehurst Cardiology Consultants PLLC Cardiovascular Disease Past Accepting new patients
FHPG, LLC Past Accepting new patients

Locations

401 Capital Dr Unit a
Carthage, NC 28327

108 Endo Ln
Ste 1
Hamlet, NC 28345
Phone (910) 205-8909

46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

7 Regional Cir
Pinehurst, NC 28374
Phone (910) 715-8600

Interoperability endpoints

  • Direct secure messaging: pvassallo8768@firsthealth.direct-ci.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 9600761 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

7 Regional Cir
Pinehurst, NC 28374-9796

Mailing address

7 Regional Cir
Pinehurst, NC 28374-9796
Phone (910) 715-8600

Other identifiers 8

NPPES NPI Registry
IdentifierTypeStateIssuer
8984819MedicaidNC
84819OtherNCBLUE CROSS/BLUE SHIELD
FH2000475OtherNCFCC
7526095OtherNCCIGNA
007538OtherNCDOCTORS HEALTH PLAN
060040796OtherNCRAILROAD
69787OtherNCMEDCOST
N0076COtherSCSC MEDICAID

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 6, 2019.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1760429773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 REGIONAL CIR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749796",
            "telephone_number": "910-715-8600",
            "fax_number": "910-715-8613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 REGIONAL CIR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749796",
            "telephone_number": "910-715-8600",
            "fax_number": "910-715-8613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASSALLO",
        "first_name": "PETER",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "9600761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8984819",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "84819",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FCC",
            "identifier": "FH2000475",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7526095",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCTORS HEALTH PLAN",
            "identifier": "007538",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "060040796",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "69787",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAID",
            "identifier": "N0076C",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.