SURF PEDIATRICS AND MEDICINE PC
NPI 1609058056
Pediatrics in Kitty Hawk, NC
About Surf Pediatrics And Medicine Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SURF PEDIATRICS AND MEDICINE PC (NPI 1609058056) is a healthcare organization registered as a pediatrics in Kitty Hawk, North Carolina and active in the NPI registry since November 2007. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Christian Thor Lige, Pediatrician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Surf Pediatrics And Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Surf Pediatrics And Medicine PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 34D2055759
Surf Pediatrics And Medicine PC · Kitty Hawk, NCCertificate of Waiver 34D2070977
Surf Pediatrics And Medicine PC · Kill Devil Hills, NCFrequently 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 Surf Pediatrics And Medicine PC's NPI number?
The NPI number for Surf Pediatrics And Medicine PC is 1609058056. It was assigned to this organization in the NPPES registry on November 28, 2007.
Where is Surf Pediatrics And Medicine PC located?
Surf Pediatrics And Medicine PC is located at 5107 N Croatan Hwy Ste 101, Kitty Hawk, NC 27949. The listed phone number is (252) 255-5321.
What is Surf Pediatrics And Medicine PC's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Surf Pediatrics And Medicine PC enrolled in Medicare?
Yes. Surf Pediatrics And Medicine PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Surf Pediatrics And Medicine PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Surf Pediatrics And Medicine PC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (6), Family Practice (2) and Pediatric Medicine (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Surf Pediatrics And Medicine PC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Surf Pediatrics And Medicine PC accept?
Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Surf Pediatrics And Medicine PC 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 Surf Pediatrics And Medicine PC was last updated on August 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Surf Pediatrics And Medicine Pc · NPI 1609058056
Pediatrics organization in Kitty Hawk, North Carolina. Organization record, active in the CMS NPPES registry since November 28, 2007.
## Identity
- **NPI:** 1609058056 (Entity type: Organization)
- **Enumerated:** November 28, 2007
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Organization subpart:** No
- **Authorized official:** Christian Lige, PEDIATRICIAN
## Practice location
- **Address:** 5107 N CROATAN HWY STE 101, Kitty Hawk, NC 27949-3989
- **Phone:** (252) 255-5321 · **Fax:** (252) 565-0534
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Family Practice (2), Pediatric Medicine (1); 2 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 5, 2020
- **Other identifiers:** Medicaid 5916879 (NC)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1609058056) · Data from the CMS NPPES public registry.