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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Mark Edmund Pessa, M.D.

Trauma Surgery Physician in Melbourne, FL · enumerated 2005.

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

National Provider Identifier

1174526958

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Registry record

Entity type Individual (Type 1)
Name Dr. Mark Edmund Pessa
Credential M.D.
Sex Male
Practice address 1350 Hickory St, Melbourne, FL, 32901
Fax (321) 434-1667
Enumeration date May 24, 2005
Last updated in NPPES Nov 15, 2023

Taxonomy & licenses

2086S0127X Trauma Surgery Physician Allopathic & Osteopathic Physicians · License ME94760 (FL) Primary
208600000X Surgery Physician Allopathic & Osteopathic Physicians · License ME94760 (FL) Secondary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
274458900 Medicaid FL -
31607X Other FL MEDICARE HFPSI
31607Y Other FL MEDICARE

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.

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Frequently asked questions

How do I verify Mark Pessa's NPI record?
Cross-check NPI 1174526958 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1174526958 active?
Yes, as of the latest NPPES snapshot, NPI 1174526958 is active (record last updated 2023-11-15).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-11-15.