DR. BRETT JOSEPH VASSALLO M.D. NPI 1386654408

NPI Information

  • NPI: 1386654408
  • Provider Name: DR. BRETT JOSEPH VASSALLO, M.D.
  • Classification: Obstetrics & Gynecology - 207VF0040X
  • Specialization: Urogynecology and Reconstructive Pelvic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1875 DEMPSTER ST
    #665
    PARK RIDGE, IL
    ZIP 60068
  • Phone: (847) 825-1590

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NPI Details

DR. Brett Joseph Vassallo, M.D. is an urogynecology and reconstructive pelvic surgery in Park Ridge, IL with 31 years of experience. The provider is a subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. DR. Brett Joseph Vassallo, M.D. NPI is 1386654408. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduation Year:1995

The provider's business location address is:

1875 DEMPSTER ST
#665
PARK RIDGE, IL
ZIP 60068
Phone: (847) 825-1590
Fax: (847) 825-1604

The NPI 1386654408 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, heparin sodium, per 1000 units (HCPCS:J1644)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Insertion of temporary bladder tube (HCPCS:51701)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Insertion of temporary bladder tube (HCPCS:51701)
  • Simple bladder irrigation and/or instillation (HCPCS:51700)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Dilation of urethra using an endoscope (HCPCS:52281)
  • Creation of sling around urethra in female to control leakage (HCPCS:57288)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Repair of prolapsing vaginal vault through vagina (HCPCS:57283)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Insertion of device into abdomen with pressure and urine flow rate study (HCPCS:51797)
  • Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies (HCPCS:51729)
  • Electronic assessment of bladder emptying (HCPCS:51741)
  • Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings (HCPCS:51784)
  • Removal of uterus, tubes, and/or ovaries through vagina, 250.0 g or less (HCPCS:58262)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Pessary, non rubber, any type (HCPCS:A4562)
  • Fitting and insertion of vaginal support device (HCPCS:57160)
  • Electronic assessment of bladder emptying (HCPCS:51741)
  • Fitting and insertion of vaginal support device (HCPCS:57160)
  • Repair of herniated rectum into vaginal wall (HCPCS:57250)
  • Insertion of device into abdomen with pressure and urine flow rate study (HCPCS:51797)
  • Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings (HCPCS:51784)
  • Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies (HCPCS:51729)
  • Repair of bulging of rectum and bladder into vaginal wall (HCPCS:57265)

The enumeration date for this NPI number is 8/9/2006 and was last updated on 8/8/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VG0400XObstetrics & GynecologyGynecology036097455ILLINOISNo
2207VF0040XObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery036097455ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036097455MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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