David Arvo Pesola, MD

Key facts

NPI

1285662015

Entity type

Individual (NPI type 1)

Primary specialty

Cardiovascular Disease Physician 207RC0000X

License

4301046757 (MI)

Practice address

1414 West Fair Avenue
Suite 334
Marquette, MI 49855

Phone

(906) 225-3870

Fax

(906) 225-4861

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 8

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.

• DLP Marquette Physician Practices Inc Obesity Medicine (Internal Medicine) Physician · Marquette, MI · NPI 1487902995
  Medicare reassignment Care Compare group NPD MI
• Portage Hospital LLC General Acute Care Hospital · Hancock, MI · NPI 1245667229
  Medicare reassignment NPD MI
• DLP Marquette Physician Practices Inc Rural Health Clinic/Center · Marquette, MI · NPI 1205635760
  Care Compare group NPD
• DLP Marquette Physician Practices Inc Rural Health Clinic/Center · Escanaba, MI · NPI 1679372130
  Care Compare group
• DLP Marquette Physician Practices Inc Counselor · Marquette, MI · NPI 1730437245
  Care Compare group
• DLP Marquette Physician Practices Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Marquette, MI · NPI 1073861431
  NPD
• Portage Hospital LLC Durable Medical Equipment & Medical Supplies · Hancock, MI · NPI 1710314547
  NPD
• Upper Michigan Cardiovascular Associates, PC Cardiovascular Disease Physician · Marquette, MI · NPI 1649214099
  NPD CARDIOVASCULAR DISEASE

Hospital & facility affiliations 5

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

• Acquisition Bell Hospital LLC Critical Access Hospital · Ishpeming, MI · NPI 1699101345
  Care Compare affiliation Hospital
• Baraga County Memorial Hospital Critical Access Hospital · Lanse, MI · NPI 1558479824
  Care Compare affiliation Hospital
• DLP Marquette General Hospital LLC General Acute Care Hospital · Marquette, MI · NPI 1568727048
  Care Compare affiliation Hospital
• Portage Hospital LLC General Acute Care Hospital · Hancock, MI · NPI 1245667229
  Care Compare affiliation Hospital
• Schoolcraft Memorial Hospital Critical Access Hospital · Manistique, MI · NPI 1700805157
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DLP Marquette Physician Practices Inc (193 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uphs Marquette DLP Hospital Hospital · Marquette, MI · CCN 230054
• Bell Hospital Hospital · Ishpeming, MI · CCN 231321
• Up Health System Portage Hospital · Hancock, MI · CCN 230108
• Baraga County Memorial Hospital Hospital · L' Anse, MI · CCN 231307
• Schoolcraft Memorial Hospital Hospital · Manistique, MI · CCN 231303

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.pesola@mghvi.directbygreenway.com
• Direct secure messaging: david.pesola.1@8233.direct.athenahealth.com

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2013.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1285662015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 WEST FAIR AVENUE",
            "address_2": "SUITE 334",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "49855",
            "telephone_number": "906-225-3870",
            "fax_number": "906-225-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 WEST FAIR AVENUE",
            "address_2": "SUITE 334",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "49855",
            "telephone_number": "906-225-3870",
            "fax_number": "906-225-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESOLA",
        "first_name": "DAVID",
        "middle_name": "ARVO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301046757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060029530",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0605200201",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34966600",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1653745",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nicole Marie Perrier, PA-C
• Alexis Danielle Perttu, FNP
• Jessica Pesola, LMT
• Morgan Peters, PA
• Andrew John Peterson, D.D.S.
• Heidi Jane Peterson, RPH
• Richard A Peura, DDS

All providers in Marquette, MI · Cardiovascular Disease Physician in Michigan