Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Carl Matthew Pesta, D.O.

Surgery Physician in Mount Clemens, MI · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114983913

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Registry record

Entity type Individual (Type 1)

Name Carl Matthew Pesta

Credential D.O.

Sex Male

Practice address 1030 Harrington St, 302a, Mount Clemens, MI, 48043

Phone (586) 759-2005

Fax (586) 759-2636

Enumeration date Apr 21, 2006

Last updated in NPPES May 26, 2015

Taxonomy & licenses

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 5101013083 (MI) Primary

DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier	Type	State	Issuer
114446930	Medicaid	MI	-
0255003665	Other	MI	BCBS PIN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1114983913 active?

Yes, as of the latest NPPES snapshot, NPI 1114983913 is active (record last updated 2015-05-26).

How do I verify Carl Pesta's NPI record?

Cross-check NPI 1114983913 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-05-26.