Individual provider Active NPI

Justin Matthew Rodebaugh, M.D.

  • Internal Medicine Physician
  • Norfolk, VA
National Provider Identifier
1487826392
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301118943 Issued in MI
Practice address
600 Gresham Dr
Norfolk, VA 23507-1904
Phone
(440) 596-2138
NPI assigned
Mar 31, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 0116030112 VA
Internal Medicine Physician 207R00000X 4301118943 MI Primary

Addresses

Primary practice location

600 Gresham Dr
Norfolk, VA 23507-1904

Mailing address

5428 Club Head Rd
Virginia Beach, VA 23455-6809
Phone (757) 499-5428

Other practice location 1

805 W Cedar St
Standish, MI 48658-9526
Phone (989) 839-1644

Other practice location 2

200 Hemlock Rd
Tawas City, MI 48763-2000
Phone (989) 839-1644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190722000030 MI Practitioner - Internal Medicine 0446586010 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Michigan Physician Services PCGroup PAC ID 0143730671, 66 clinicians
Wexford Physician Services PCGroup PAC ID 3072024330, 39 clinicians
Otsego Physician Services PCGroup PAC ID 7416468954, 35 clinicians

Practice addresses (Care Compare)

1100 E Michigan Ave
Mercy Grayling Hopsital
Grayling, MI 49738-1334
Phone (989) 348-5461

1465 E Parkdale Ave
Manistee, MI 49660-9709
Phone (231) 398-1000

400 Hobart St
Cadillac, MI 49601-2331
Phone (231) 876-7200

825 N Ctr Ave
Gaylord, MI 49735-1592
Phone (989) 731-2100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301118943MIMDInternal Medicine Physician
0116030112VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Group Family Medicine Current Accepting new patients
Hospitalist Medicine Physicians of Michigan PLLC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
North Michigan Physician Services PC Family Medicine CurrentSince Nov 1, 2025 Accepting new patients
Mymichigan Medical Group Internal Medicine CurrentSince Oct 11, 2025 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Apr 25, 2025 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
Otsego Physician Services PC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Wexford Physician Services PC Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Mymichigan Medical Group CurrentSince Apr 25, 2025 Accepting new patients
Hospitalist Medicine Physicians of Michigan, PLLC Internal Medicine Current Accepting new patients
Munson Healthcare Cadillac Past Accepting new patients
Hospitalist Medicine Physicians of Michigan-Alpena PLLC Past Accepting new patients
Munson Healthcare Manistee Hospital Past Accepting new patients

Locations

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

602 Beech St
Ste 3100
Clare, MI 48617
Phone (989) 802-5020

825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

1465 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1000

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

805 W Cedar St
Standish, MI 48658
Phone (989) 846-3500

200 Hemlock Rd
Tawas City, MI 48763
Phone (989) 362-3411

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Interoperability endpoints

  • Direct secure messaging: jrodebaugh83604@mymichiganhealth.midirect.net

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1487826392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5428 CLUB HEAD RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556809",
            "telephone_number": "757-499-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GRESHAM DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071904",
            "telephone_number": "440-596-2138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 W Cedar St",
            "address_purpose": "LOCATION",
            "city": "Standish",
            "state": "MI",
            "postal_code": "486589526",
            "country_code": "US",
            "telephone_number": "989-839-1644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Hemlock Rd",
            "address_purpose": "LOCATION",
            "city": "Tawas City",
            "state": "MI",
            "postal_code": "487632000",
            "country_code": "US",
            "telephone_number": "989-839-1644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODEBAUGH",
        "first_name": "JUSTIN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-31",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116030112",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301118943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.