Individual provider

David Rodeberg, MD

Pediatric Surgery Physician Medicare enrolled

David Rodeberg, MD is a Pediatric Surgery Physician in Greenville, NC, registered under NPI 1124120290.

Getting there

The practice address on file is 517 MOYE BLVD, Greenville, NC 27834. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

517 MOYE BLVD, Greenville, NC 27834 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
2010-00640 NC Pediatric Surgery Physician primary
MD429509 PA Pediatric Surgery Physician
TP683 KY Pediatric Surgery Physician

Licences are recorded in 3 states: NC, PA, KY. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Pediatric Medicine
PAC ID
9537168653

Medicare enrolment is recorded as approved under the provider type Practitioner - Pediatric Medicine. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 3 states

This provider holds licences in 3 states: Kentucky, North Carolina and Pennsylvania. The practice address on file is in Greenville, NC, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

KY Kentucky
Licence
TP683
Specialty
Pediatric Surgery Physician
Verify with the KY board →
NC North Carolina practice address
Licence
2010-00640
Specialty
Pediatric Surgery Physician
Verify with the NC board →
PA Pennsylvania
Licence
MD429509
Specialty
Pediatric Surgery Physician
Verify with the PA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Pediatric Surgery covers

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. NUCC Health Care Provider Taxonomy, code 2086S0120X
Allopathic & Osteopathic Physicians Surgery Pediatric Surgery

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2086S0120X Pediatric Surgery Physician Pediatric Surgery 2010-00640 NC primary
2086S0120X Pediatric Surgery Physician Pediatric Surgery MD429509 PA
2086S0120X Pediatric Surgery Physician Pediatric Surgery TP683 KY

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1124120290 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 1, 2006
Last updatedApr 5, 2022
StatusActive
Sole proprietorNo
CredentialMD
Practice address 517 MOYE BLVD
Greenville, NC 27834
(252) 744-2832
Fax (252) 744-3457
Mailing address PO BOX 751069
Charlotte, NC 28275
Other identifiers 5914874 (NC)
158YP · BCBSNC (NC)
The last update on file is Apr 5, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1124120290 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 2 4 1 2 0 2 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 4 4 2 2 0 2 9

Sum = 50 · next multiple of 10 = 50 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1124120290?
NPI 1124120290 is the National Provider Identifier assigned to David Rodeberg, MD in Greenville, NC. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pediatric Surgery cover?
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
How do I contact David Rodeberg, MD?
The phone number on file with NPPES is (252) 744-2832, last updated Apr 5, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does David Rodeberg, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1124120290 a valid number?
Yes. 1124120290 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.