Tidewater Kidney Specialists Inc
A Medicare group practice based in Norfolk, VA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6507852662), with 23 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6507852662
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- NC, VA
- Enrollments
- 2
- Group size
- 21 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 7
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040423000134 | NC | Part B Supplier - Clinic/Group Practice | 1780624627 |
| O20040519001509 | VA | Part B Supplier - Clinic/Group Practice | 1780624627 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Tidewater Kidney Specialists, Inc.
- Nephrology Physician
- Virginia Beach, VA
- NPI 1780624627
-
Tidewater Kidney Specialists, Inc.
- Nephrology Physician
- Norfolk, VA
- NPI 1053678839
Practice locations
- Virginia Beach, VA2
- Norfolk, VA2
- Manteo, NC1
- Suffolk, VA1
- Chesapeake, VA1
Merit-based Incentive Payment System (MIPS)
Medicare Care Compare- Final score
- 88.33 of 100
- Quality
- 69.68
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.75
Clinicians 23
Clinicians who reassign their Medicare benefits to this group (23) or whom Care Compare lists as members (21).
-
Haidr Agha, M.D.
- Nephrology Physician
- Virginia Beach, VA
- NPI 1003048117
-
Malik Asad Anjum, M.D.
- Nephrology Physician
- Norfolk, VA
- NPI 1386902104
-
Dawn Louise Bethea, ARNP
- Family Nurse Practitioner
- Chesapeake, VA
- NPI 1346542800
-
Daniel Joseph Dean Jr., D.O.
- Nephrology Physician
- Portsmouth, VA
- NPI 1922329754
-
Kiranjit Kaur Dhillon, MD
- Nephrology Physician
- Norfolk, VA
- NPI 1598722803
-
Sam Wei Gao, MD
- Nephrology Physician
- Portsmouth, VA
- NPI 1831181650
-
Angela Garcia, NP
- Family Nurse Practitioner
- Virginia Beach, VA
- NPI 1144656133
-
Alexander Olegovich Gogoli, DO
- Internal Medicine Physician
- Harrisonburg, VA
- NPI 1902435639
-
Liwei E. Huang, MD
- Nephrology Physician
- Chesapeake, VA
- NPI 1912174939
-
Yury Kalmanovich, MD
- Nephrology Physician
- Norfolk, VA
- NPI 1992796767
-
Madhu K Kolli, MD
- Nephrology Physician
- Virginia Beach, VA
- NPI 1114900552
-
Steven Victor Lewinski, M.D.
- Nephrology Physician
- Chesapeake, VA
- NPI 1992788244
-
Melbeth Morales Lusica, MD
- Nephrology Physician
- Virginia Beach, VA
- NPI 1144487364
-
Anitha Murthy, MD
- Specialist
- Virginia Beach, VA
- NPI 1346204021
-
Onweli Ernest Ogbolu, M.D.
- Nephrology Physician
- Suffolk, VA
- NPI 1336301423
-
Austin Lyle Parker, M.D.
- Nephrology Physician
- Kings Bay, GA
- NPI 1376513796
-
Bhupinder Kumar Prajapati, MBBS, MD
- Nephrology Physician
- Norfolk, VA
- NPI 1871932459
-
Daniel A Rakowski, MD
- Nephrology Physician
- Chesapeake, VA
- NPI 1275504029
-
Hooman Sadr, MD
- Nephrology Physician
- Norfolk, VA
- NPI 1598833188
-
Melody Siff, MD
- Nephrology Physician
- Norfolk, VA
- NPI 1205330750
-
Kyle Vaughn, PA-C
- Medical Physician Assistant
- Norfolk, VA
- NPI 1841739141
-
Martha Anne Versprille, PA-C
- Medical Physician Assistant
- Norfolk, VA
- NPI 1952369100
-
Wei D. Zhao, M.D.
- Nephrology Physician
- Norfolk, VA
- NPI 1205834405
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.