Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mario Emilio Pelletier, MD

Individual provider Pulmonary Disease Physician · NPI 1457310724

Dr. Mario Emilio Pelletier, MD is an Internal Medicine in Kissimmee, Florida. Qualified in 1977, 49 years ago. Practices with Conviva Medical Center Management, LLC, a 562-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and New Jersey.

Years since qualifying
49
Licensed in
FL, NJ
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

920 N John Young Pkwy
Kissimmee, FL 34741-4914
Phone: (407) 956-1920
Fax: (833) 450-5410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME159611 (FL)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 42560 (NJ)

Record details

NPI number1457310724
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 23, 2006
Last updated in NPPESNovember 28, 2025
Certification dateNovember 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Group practice Conviva Medical Center Management, Llc — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Kissimmee