Active NPI
Justin Matthew Rodebaugh, M.D.
- Internal Medicine Physician
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301118943
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4301118943 | MI | MD | Internal Medicine Physician |
| 0116030112 | VA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Group | Family Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Michigan PLLC | Internal Medicine | Current | Accepting new patients |
| North Michigan Physician Services PC | Family Medicine | Current | Accepting new patients |
| Mymichigan Medical Group | Internal Medicine | Current | Accepting new patients |
| Sound Inpatient Physicians-Michigan, PLLC | Family Medicine | Current | Accepting new patients |
| Mymichigan Medical Center Alpena | Current | Accepting new patients | |
| Sound Inpatient Physicians - Michigan, PLLC | Family Medicine | Current | Accepting new patients |
| Otsego Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Wexford Physician Services PC | Family Medicine | Current | Accepting new patients |
| Mymichigan Medical Group | Current | 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
- 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.
-
- Hospitalist Physician
- Charlevoix, MI
- NPI 1972314821
Family Medicine
-
- Internal Medicine Physician
- Gaylord, MI
- NPI 1346054236
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1093967861
Family Medicine
-
- Internal Medicine Physician
- Adrian, MI
- NPI 1013180181
-
- Multi-Specialty Clinic/Center
- Midland, MI
- NPI 1689623506
-
- Family Medicine Physician
- Midland, MI
- NPI 1740230127
-
- Internal Medicine Physician
- Adrian, MI
- NPI 1033370283
-
dba MyMichigan Family Medicine
- Rural Health Clinic/Center
- Alpena, MI
- NPI 1144722604
-
- Internal Medicine Physician
- Midland, MI
- NPI 1629027669
-
dba Sound Physicians
- Hospitalist Physician
- Escanaba, MI
- NPI 1366768178
Family Medicine
-
- Anesthesiology Physician
- Brentwood, TN
- NPI 1043818156
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Munson Healthcare Cadillac Physician Network
- Family Medicine Physician
- Cadillac, MI
- NPI 1487051611
Hospital
-
- General Acute Care Hospital
- Cadillac, MI
- NPI 1841696754
-
- General Acute Care Hospital
- Manistee, MI
- NPI 1407949191
-
- General Acute Care Hospital
- Traverse City, MI
- NPI 1952307852
-
- Rural Acute Care Hospital
- Sault Sainte Marie, MI
- NPI 1619791431
-
- Rural Acute Care Hospital
- Alpena, MI
- NPI 1619914652
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.