Active NPI
Peter J Vassallo, M.D.
- Cardiovascular Disease Physician
- Pinehurst, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 9600761
- 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.
-
- Cardiovascular Disease Physician
- Pinehurst, NC
- NPI 1689944514
Cardiovascular Disease, NC
-
- Specialist
- Pinehurst, NC
- NPI 1770512865
-
- Cardiovascular Disease Physician
- Pinehurst, NC
- NPI 1245284710
Cardiovascular Disease
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Internal Medicine) Physician
- Pinehurst, NC
- NPI 1740463967
Hospital
-
- General Acute Care Hospital
- Pinehurst, NC
- NPI 1740208081
Hospital
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.95 of 100
- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 9600761 | NC | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCPC-5, LLC | Cardiovascular Disease | Current | Accepting new patients |
| MCPC-5, LLC | Cardiovascular Disease | Current | Accepting new patients |
| MCPC-5, LLC | Cardiovascular Disease | Current | 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
- pvassallo8768@firsthealth.direct-ci.net
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 9600761 | NC | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8984819 | Medicaid | NC | |
| 84819 | Other | NC | BLUE CROSS/BLUE SHIELD |
| FH2000475 | Other | NC | FCC |
| 7526095 | Other | NC | CIGNA |
| 007538 | Other | NC | DOCTORS HEALTH PLAN |
| 060040796 | Other | NC | RAILROAD |
| 69787 | Other | NC | MEDCOST |
| N0076C | Other | SC | SC 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.