DR. MARY ANN VACCARELLO (M.D.) – Pediatric Endocrinology Physician, NPI 1285789594

DR. MARY ANN VACCARELLO (M.D.) is a healthcare provider. based in Coral gables, Florida. specializing in PEDIATRIC MEDICINE, ENDOCRINOLOGY. They hold the professional credentials M.D.. They hold a License No. ME 0056044 (FL). The NPI Number for DR. MARY ANN VACCARELLO (M.D.) is 1285789594

Main info

Female
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARY ANN VACCARELLO (M.D.)
NPI
1285789594
Phone
(305) 611-1515
Address
5955 PONCE DE LEON BLVD
Enumeration Date
24 January 2007
Last Update Date
24 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5614706177
Graduation Year
1980 (46 years ago)
PAC ID
0941520308
Group Practice PAC ID
3678536240
Professional Enrollment ID
I20150526002536
Address ID
FL334281704BO9980XNXXX512
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,309 PEDIATRIC MEDICINE in FL

Provider Addresses for DR. MARY ANN VACCARELLO (M.D.)

  • 5955, Ponce de Leon Boulevard, Coral Gables, Miami-Dade County, Florida, 33146, United States

    CORAL GABLES, FL 331462423

    Phone: (305) 611-1515

    Fax: (305) 662-3723

    Type: Mailing

  • 3400 Burns Rd

    200

    Palm Beach Gardens, FL 334104325

    Phone: (561) 624-1985

    Fax: (561) 624-7255

    Type: Location

  • 45th Street, Mangonia Park, Palm Beach County, Florida, 33407, United States

    MANGONIA PARK, FL 334072450

    Phone: (561) 844-8354

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 91 Open Payments records for all available years, with a total value of $3,392.

Total Amount is formed as General ($3,392) + Research ($0) + Ownership ($0) = $3,392.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Alexion Pharmaceuticals, Inc. ($1,036).

Total Amount

$3,392

General + Research + Ownership

Payments

91

Total payment records

General Amount

$3,392

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-05-26

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
I20150526002536IPediatric MedicineFLTBD

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 33146)

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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: 3678536240View full group profile
NameSpecialtyState
Pediatric MedicineFL
Gastroenterology, Pediatric MedicineFL
Pediatric MedicineFL
Pediatric MedicineFL
Pediatric MedicineFL
Pediatric MedicineFL
Pediatric MedicineOK
O B S T E T R I C S/ G Y N E C O L O G YFL
Pediatric Medicine, GastroenterologyFL
Pediatric MedicineFL

Reviews

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Frequently asked questions

Is DR. MARY ANN VACCARELLO (M.D.) listed with a National Provider Identifier?
Yes — DR. MARY ANN VACCARELLO (M.D.) has NPI 1285789594 on file in the registry.
Active or inactive — what applies to DR. MARY ANN VACCARELLO (M.D.)?
You should see DR. MARY ANN VACCARELLO (M.D.) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. MARY ANN VACCARELLO (M.D.)?
At a glance, DR. MARY ANN VACCARELLO (M.D.) is tied to Pediatric Endocrinology Physician. Clinical services aligned with this taxonomy classification.
Is DR. MARY ANN VACCARELLO (M.D.) located near Coral Gables?
DR. MARY ANN VACCARELLO (M.D.) currently maps to Coral Gables, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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