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DAVID ANTHONY RODEBERG MD
NPI 1124120290
Surgery - Pediatric Surgery in Greenville, NC

Active since September 01, 2006PECOS EnrolledAccepts Medicare Assignment
517 MOYE BLVD, GREENVILLE, NC 27834(252) 744-2832(252) 744-3457 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 5, 2022, Dec 17, 2020 (2 updates tracked since 2020).

About David Anthony Rodeberg Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID ANTHONY RODEBERG MD (NPI 1124120290) is an individual pediatric surgery provider in Greenville, North Carolina, licensed in North Carolina (2010-00640) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lexington, and is a graduate of University Of Wisconsin School Of Medicine (1989).

NPPES Registry Identity

NPI1124120290
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameDAVID ANTHONY RODEBERGCredential: MD
Location Address517 MOYE BLVDGreenville, NC 27834-2849
Mailing AddressPo Box 751069Charlotte, NC 28275-1069
Phone(252) 744-2832
Fax(252) 744-3457
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1989
Enumeration DateSeptember 1, 2006
Last NPPES UpdateApril 5, 20222 updates tracked since enumeration
NPPES CertifiedApril 5, 2022
✔ NPI 1124120290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Licenses✔ Licensed in NC · 2010-00640✔ Licensed in PA · MD429509✔ Licensed in KY · TP683
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
517 MOYE BLVD, Greenville, NC 27834
Open in Google Maps ↗

Secondary Practice Location 1

Location 1740 S LimestoneLexington, KY 40536-2849 · Phone (859) 218-2588 · Fax (859) 323-3918

Other Identifiers 2

Other158YPNC · Bcbsnc
Medicaid5914874NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Anthony Rodeberg Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537168653
PECOS Enrollment IDI20220512002805
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show David Rodeberg reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kentucky Medical Services Foundation, Inc
425 mi
Internal Medicine
2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,502 clinicians in this Medicare group
NPI 1326091448 (859) 257-7910
University Of Kentucky
427 mi
Dentist
740 S LIMESTONE ST
Lexington, KY 40536
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
NPI 1730225129 (859) 257-3462
Ssm Cardinal Glennon Childrens Hospital
719 mi
Pediatrics
1 SAINT ELIZABETH BLVD
O Fallon, IL 62269
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
  • 414 clinicians in this Medicare group
NPI 1174577670 (618) 234-2120

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEIDI BERTHA HAUGHTON DO
Pediatrics
517 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-2335
EAST CAROLINA UNIVERSITY
Pediatrics
517 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-0766
DR. ALEXANDRA HELENE FELIX DO
Pediatrics
517 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-2335
DR. JENNIFER E CROTTY MD
Pediatrics
517 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-2335
MR. JOHN DAVID TOWNSEND M.D.
Pediatrics
517 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-2335
DR. PAMELA CHRISTINE HURDLE SETTLE PHARMD/MBA
Pharmacist
517 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-2721
MARY WINDHAM LENFESTEY M.D.
Pediatrics
517 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-2335
JISOO KIM
Surgery
517 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-2393

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Rodeberg's NPI number?

The NPI number for David Rodeberg is 1124120290. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is David Rodeberg located?

David Rodeberg practices at 517 Moye Blvd, Greenville, NC 27834. The listed phone number is (252) 744-2832.

What is David Rodeberg's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is David Rodeberg enrolled in Medicare?

Yes. David Rodeberg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for David Rodeberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Rodeberg reassigns Medicare benefits to 3 organizations: Kentucky Medical Services Foundation, Inc (Lexington, KY), University Of Kentucky (Lexington, KY) and Ssm Cardinal Glennon Childrens Hospital (O Fallon, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Rodeberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Rodeberg accept?

Health plans from Anthem Blue Cross and Blue Shield list David Rodeberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Rodeberg was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.