GUSTAVO VALLEJO (MD) – Endocrinology, Diabetes & Metabolism Physician, NPI 1174325559

GUSTAVO VALLEJO (MD) is a healthcare provider. based in Melbourne, Florida. specializing in ENDOCRINOLOGY. They hold the professional credentials MD. They hold a License No. ME172712 (). The NPI Number for GUSTAVO VALLEJO (MD) is 1174325559

Main info

Male
Sole Proprietor
51 Years Of Experience
Accepts Medicare Assignment
Name
GUSTAVO VALLEJO (MD)
NPI
1174325559
Phone
(321) 727-2990
Address
1344 S APOLLO BLVD STE 406
Enumeration Date
26 March 2025
Last Update Date
8 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3217241084
Graduation Year
1975 (51 years ago)
PAC ID
4981185832
Group Practice PAC ID
5496652380
Professional Enrollment ID
I20260227002769
Address ID
FL329013180ME1344XBLVD405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness85
Years active:1State licenses:1Digital endpointsOther names

605 ENDOCRINOLOGY in FL

Provider Addresses for GUSTAVO VALLEJO (MD)

  • 1344 S APOLLO BLVD STE 406

    MELBOURNE, FL 329013185

    Phone: (321) 727-2990

    Fax: (321) 724-0455

    Type: Mailing

  • 1344 S APOLLO BLVD STE 2A

    MELBOURNE, FL 329013183

    Phone: (321) 722-9731

    Fax: (321) 308-0496

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260227002769IEndocrinologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496652380View full group profile
NameSpecialtyState
Family Practice, Emergency MedicineFL
Internal MedicineFL
-FL
U R O L O G YFL
Diagnostic Radiology, Nuclear MedicineOH
Internal MedicineFL
Geriatric Medicine, Internal MedicineFL
Internal MedicineFL
Internal Medicine, Cardiovascular Disease (Cardiology)PA
Physical Medicine And Rehabilitation, Interventional Pain ManagementFL

Reviews

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Frequently asked questions

What is the standard ID for GUSTAVO VALLEJO (MD) in the U.S.?
In the U.S., GUSTAVO VALLEJO (MD) is identified by NPI 1174325559.
Quick check: is GUSTAVO VALLEJO (MD) active?
Public NPPES data shows GUSTAVO VALLEJO (MD) with an active NPI status right now.
What services align with GUSTAVO VALLEJO (MD)'s listing?
GUSTAVO VALLEJO (MD)'s public classification highlights Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to GUSTAVO VALLEJO (MD)?
GUSTAVO VALLEJO (MD) shows a connection to Melbourne, Florida in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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