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

Dr. Peter Vasconcellos, DO

Individual provider Family Medicine Physician · NPI 1750359915

Dr. Peter Vasconcellos, DO is a Family Practice in Grand Rapids, Minnesota. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 1997, 29 years ago. Practices with Grand Itasca Clinic and Hospital, a 325-clinician group and accepts Medicare assignment. Licensed in Iowa, Minnesota and Texas.

Years since qualifying
29
Trained at
Des Moines University of Osteopathic Medicine and Health Sciences
Licensed in
IA, MN, TX
In the registry since
2006
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1601 Golf Course Rd
Grand Rapids, MN 55744-8648
Phone: (218) 326-3401
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence N9792 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence 3288 (IA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 77374 (MN)

Record details

NPI number1750359915
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 14, 2006
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025
Mailing address1601 Golf Course Rd, Grand Rapids, MN 55744-8648

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated 1997 (29 years in practice)
Group practice Grand Itasca Clinic And Hospital — 325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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