Tidewater Physicians Multispecialty Group, PC

A Medicare group practice based in Newport News, VA: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 2860398526), with 402 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2860398526The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Multi-Specialty - Physician, DME Supplier - Physician - Orthopedic/Orthopedic Surgery, Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
Enrolled in
VA
Enrollments
5
Group size
259 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
64In 13 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20031211000980 VA Part B Supplier - Clinic/Group Practice 1902848294
O20100524000041 VA Part B Supplier - Independent Clinical Laboratory 1902848294
O20100930029986 VA DME Supplier - Multi-Specialty - Physician 1598904294
O20100930021756 VA DME Supplier - Multi-Specialty - Physician 1851530851
O20250505001606 VA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1568236859

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 402

Page 1 of 5

Clinicians who reassign their Medicare benefits to this group (401) or whom Care Compare lists as members (259).

Sources for this page