NPIMap

Individual provider Active NPI

Peter William Taraschi, DO

  • Family Medicine Physician
  • Palm Bay, FL
National Provider Identifier
1780660852
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS4958 Issued in FL
Practice address
6100 Minton Rd NW
Ste 102
Palm Bay, FL 32907-1975
Phone
(321) 724-1171
Fax
(321) 724-9024
NPI assigned
Dec 20, 2005
Last updated
Oct 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS4958 FL Primary
General Practice Physician 208D00000X OS4958 FL

Addresses

Primary practice location

6100 Minton Rd NW
Ste 102
Palm Bay, FL 32907-1975

Mailing address

1344 S Apollo Blvd Ste 406
Melbourne, FL 32901-3185
Phone (321) 727-2990

Other identifiers 7

IdentifierTypeStateIssuer
120527400MedicaidFL
4074220OtherFLAETNA
22802OtherFLWELLCARE
9062915005OtherFLCIGNA
010055010OtherFLRAILROAD MEDICARE
2138296OtherFLAETNA
82901OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100429000542 FL Practitioner - Family Practice 5799812392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, shared by 10 NPIs, 257 clinicians
Omni Healthcare, IncGroup PAC ID 5496652380, 42 clinicians

Practice addresses (Care Compare)

4270 Minton Rd
Suite 120
West Melbourne, FL 32904-9579
Phone (321) 984-2933

6100 Minton Rd NW
Suite 102
Palm Bay, FL 32907-1900
Phone (321) 724-1171

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4958FLMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Healthcare, Inc Current Accepting new patients

Locations

1344 S Apollo Blvd
Ste 406
Melbourne, FL 32901
Phone (321) 253-4032

95 Bulldog Blvd
Ste 202
Melbourne, FL 32901
Phone (321) 676-1870

Interoperability endpoints

  • Direct secure messaging: petertaraschi@ohi.allscriptsdirect.net
  • Direct secure messaging: ptaraschi71711@epicdirect.hf.org

Organizations & group practices 2

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1780660852",
    "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": "6100 MINTON RD NW",
            "address_2": "STE 102",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071975",
            "telephone_number": "321-724-1171",
            "fax_number": "321-724-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARASCHI",
        "first_name": "PETER",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS4958",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS4958",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120527400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4074220",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "22802",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9062915005",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010055010",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2138296",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "82901",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

Verify at the official NPI Registry.