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

Dr. Michael Pestotnik, MD

Individual provider Internal Medicine Physician · NPI 1093178154

Dr. Michael Pestotnik, MD is an Internal Medicine in Boise, Idaho. Graduated from University of Utah School of Medicine in 2014, 12 years ago. Practices with University of Utah Community Physicians Group, a 280-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
12
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

500 W Fort St #111R
Boise, ID 83702
Phone: (208) 422-1314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 11029172-1205 (UT)

Record details

NPI number1093178154
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2016
Last updated in NPPESNovember 11, 2021
Certification dateNovember 11, 2021
Mailing address500 West Fort St, 111r, Boise, ID 83702

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice University Of Utah Community Physicians Group — 280 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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