DR. KRISTOPHER CARSON ROSBURG MD
NPI 1578829321
Pediatrics - Neonatal-Perinatal Medicine in Peoria, IL

Q: What is Kristopher Rosburg's NPI number?

The NPI number for Kristopher Rosburg is 1578829321. It was assigned to this individual provider in the NPPES registry on April 5, 2012.

Q: What is Kristopher Rosburg's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Active since April 05, 2012PECOS Enrolled

530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 677-7171 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2020, Jul 10, 2019, Dec 7, 2015 (3 updates tracked since 2015).

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About Dr. Kristopher Carson Rosburg Md NPPES

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

DR. KRISTOPHER CARSON ROSBURG MD (NPI 1578829321) is an individual neonatal-perinatal medicine provider in Peoria, Illinois, licensed in Illinois (036.149648) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578829321

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameDR. KRISTOPHER CARSON ROSBURGCredential: MD

Location Address530 NE GLEN OAK AVEPeoria, IL 61637

Mailing Address530 Ne Glen Oak AvePeoria, IL 61637-0001 · (309) 677-7171

Phone(309) 677-7171

Sole ProprietorNo

Enumeration DateApril 5, 2012

Last NPPES UpdateOctober 12, 20203 updates tracked since enumeration

NPPES CertifiedOctober 12, 2020

✔ NPI 1578829321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in IL · 036.149648

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License 036.149648 (IL)

530 NE GLEN OAK AVE, Peoria, IL 61637

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kristopher Carson Rosburg Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. DEEPAK S NAIR M.D.

Psychiatry & Neurology (Neurology)

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2000

DR. HAMID MAHMOOD ZIA M.D

Pathology (Anatomic Pathology & Clinical Pathology)

530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637

Peoria County (309) 624-9011

THOMAS JAMES MCMORROW MD

Pediatrics

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2553

ERIC TYLER AMPARAN MD

Student in an Organized Health Care Education/Training Program

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2274

ALEXANDRA ROPER MD

Surgery

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2000

JAPMEHR KAUR SANDHU M.B.B.S.

Student in an Organized Health Care Education/Training Program

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 624-9351

THOMAS BLACKWELL JR. MD

Student in an Organized Health Care Education/Training Program

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2000

LUKE KLOFT

Student in an Organized Health Care Education/Training Program

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2109

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 Kristopher Rosburg's NPI number?

The NPI number for Kristopher Rosburg is 1578829321. It was assigned to this individual provider in the NPPES registry on April 5, 2012.

Where is Kristopher Rosburg located?

Kristopher Rosburg practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 677-7171.

What is Kristopher Rosburg's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Kristopher Rosburg enrolled in Medicare?

Yes. Kristopher Rosburg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristopher Rosburg was last updated on October 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.