NPIMap

Tidalhealth Peninsula Regional Inc

A Medicare group practice based in Salisbury, MD: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 3072509702), with 214 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3072509702The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Pharmacy, Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice, Part B Supplier - Hospital Department(S), Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
MD
Enrollments
7
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
41In 6 places

Enrollment records 7

Enrollment IDStateProvider typeNPI
O20040420001571 MD Part B Supplier - Clinic/Group Practice 1184832040
O20080527000410 MD Part A Provider - Hospital 1780689463
O20180328002816 MD Part B Supplier - Mass Immunization (Roster Biller Only) 1285069617
O20180505000152 MD DME Supplier - Pharmacy 1285069617
O20160408000696 MD Part B Supplier - Hospital Department(S) 1033592662
O20250826001552 MD DME Supplier - Pharmacy 1871031559
O20190304002150 MD Part B Supplier - Hospital Department(S) 1982171005

NPIs in this group 8

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 214

Page 1 of 3

Clinicians who reassign their Medicare benefits to this group (214) or whom Care Compare lists as members (6).

Sources for this page