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

Dr. Michael Van Riesberg, MD

Individual provider Otolaryngology Physician · NPI 1407831191

Dr. Michael Van Riesberg, MD is an Otolaryngology in Pensacola, Florida. Graduated from Indiana University School of Medicine in 1985, 41 years ago. Practices with Michael V Riesberg MD Otolaryngology and Performing Arts Medicine, a 3-clinician group. Licensed in Florida.

Years since qualifying
41
Trained at
Indiana University School of Medicine
Licensed in
FL
In the registry since
2005
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

2411 Executive Plaza Rd
Pensacola, FL 32504-8269
Phone: (850) 476-0700
Fax: (850) 476-4300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence ME 75687 (FL)

Record details

NPI number1407831191
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 14, 2005
Last updated in NPPESJuly 13, 2026
Mailing address2411 Executive Plaza Rd, Pensacola, FL 32504-8269

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1985 (41 years in practice)
Group practice Michael V Riesberg Md Otolaryngology And Performing Arts Medicine — 3 clinicians
Accepts Medicare assignment Not indicated

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