Individual provider Active NPI

Michael Bart Pesce, MD

  • Anesthesiology Physician
  • Apple Valley, CA
National Provider Identifier
1124016589
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0101038674 Issued in VA
Practice address
18300 US Highway 18
Apple Valley, CA 92307-2206
Phone
(760) 946-8736
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G37414 CA
Anesthesiology Physician 207L00000X 0101038674 VA Primary
Anesthesiology Physician 207L00000X 15807 SC

Addresses

Primary practice location

18300 US Highway 18
Apple Valley, CA 92307-2206

Mailing address

PO Box 31001-1838
Pasadena, CA 91110-1838
Phone (800) 394-4445

Other practice location 1

7 Independence Pt Ste 300
Greenville, SC 29615-4569
Phone (864) 522-3700

Other identifiers 1

IdentifierTypeStateIssuer
00G374140MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY, SC, WI, MA, LA6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20061003000754 CA Practitioner - Anesthesiology 0345143871
I20120705000567 NY Practitioner - Anesthesiology 0345143871 Reassigns benefits to 1 organization
I20130930000009 SC Practitioner - Anesthesiology 0345143871 Reassigns benefits to 5 organizations
I20220324001823 WI Practitioner - Anesthesiology 0345143871 Reassigns benefits to 1 organization
I20250624000557 MA Practitioner - Anesthesiology 0345143871 Reassigns benefits to 1 organization
I20260114003457 LA Practitioner - Anesthesiology 0345143871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Nevada School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Anesthesia Services LLCGroup PAC ID 4082770136, 127 clinicians
Ad of South Carolina LLCGroup PAC ID 6901269224, 28 clinicians
U of R Anesthesiology GroupGroup PAC ID 3476451105, 340 clinicians
Tidelands Anesthesia Group LLCGroup PAC ID 5395258065, 51 clinicians

Practice addresses (Care Compare)

123 Summer St
Worcester, MA 01608-1216
Phone (508) 363-5000

1541 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 675-5000

302 University Pkwy
Aiken, SC 29801-6302
Phone (888) 851-4642

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-2141

606 Black River Rd
Georgetown, SC 29440-3304
Phone (843) 527-7100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1024627MAMDClinical Social Worker
G37414CAMDAnesthesiology Physician
15807SCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
U of R Anesthesiology Group Anesthesiology CurrentSince May 2, 2025 Accepting new patients
Prisma Health University Medical Group Anesthesiology CurrentSince Jun 3, 2024 Accepting new patients
Cambridge Public Health Commission Current Accepting new patients
Mercy Health System Corporation CurrentSince Feb 21, 2022 Accepting new patients
Mercy Health System Corporation CurrentSince Feb 21, 2022 Accepting new patients
Lawrence Anesthesia Services, LLC Anesthesiology CurrentSince Jun 17, 2025 Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
Prisma Health University Medical Group CurrentSince Jun 3, 2024 Accepting new patients
Tidelands Anesthesia Group LLC Anesthesiology CurrentSince Jan 12, 2026 Accepting new patients
Ad of South Carolina LLC Anesthesiology CurrentSince Oct 2, 2023 Accepting new patients
Lsu Health Sciences Center Shreveport Faculty Group Practice Anesthesiology CurrentSince Jan 1, 2026 Accepting new patients
Beach Anesthesia, LLC Anesthesiology CurrentSince Oct 1, 2018 Accepting new patients
Atlantic Coast Anesthesia Services P.C. Anesthesiology CurrentSince Jun 1, 2020 Accepting new patients
Colorado Anesthesia Group PLLC Anesthesiology Past Accepting new patients
Alabama Anesthesia of Huntsville LLC Anesthesiology Past Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

601 Elmwood Ave
#604
Rochester, NY 14642
Phone (585) 275-2141

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

67 Creekside Park Ct
Greenville, SC 29615
Phone (864) 242-4602

7 Independence Pt
Ste 300
Greenville, SC 29615
Phone (864) 522-3700

2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200

1021 Cipriana Dr
Ste 100
Myrtle Beach, SC 29572
Phone (843) 449-7885

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 500-1254

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

Interoperability endpoints

  • Direct secure messaging: mpesce124478@direct.challiance.masshiway.net
  • Direct secure messaging: mpesce759583@direct.ghs.myhfn.org

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1124016589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-1838",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911101838",
            "telephone_number": "800-394-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 US HIGHWAY 18",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072206",
            "telephone_number": "760-946-8736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Independence Pt Ste 300",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296154569",
            "country_code": "US",
            "telephone_number": "864-522-3700",
            "fax_number": "864-522-3705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PESCE",
        "first_name": "MICHAEL",
        "middle_name": "BART",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G37414",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101038674",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "15807",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G374140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.