NPIMap

Organization Active NPI

Tidalhealth Specialty Care, LLC

  • Medical Specialty Clinic/Center
  • Salisbury, MD
National Provider Identifier
1619504735
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
TIDALHEALTH SPECIALTY CARE, LLC
Practice address
100 E Carroll St
Salisbury, MD 21801-5422
Phone
(410) 546-6400
Fax
(410) 912-4972
NPI assigned
Mar 26, 2020
Last updated
May 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
William Pelot
Title
Chief Administrative Officer
Phone
(410) 543-7497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

100 E Carroll St
Salisbury, MD 21801-5422

Mailing address

100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 546-6400

Other practice location 1

1630 Woodbrooke Dr
Salisbury, MD 21804-8501
Phone (410) 912-6114

Other practice location 2

9733 Healthway Dr
Berlin, MD 21811-1155
Phone (410) 749-4154

Other practice location 3

10344 Old Ocean City Blvd Ste 1
Berlin, MD 21811-1162
Phone (410) 912-6021

Other practice location 4

560 Riverside Dr Ste 106
Salisbury, MD 21801-4700
Phone (410) 543-7354

Other practice location 5

264 Tilghman Rd
Salisbury, MD 21804-1921
Phone (410) 742-7246

Other practice location 6

560 Riverside Dr Ste 106
Salisbury, MD 21801-4700
Phone (410) 543-7727

Other practice location 7

314 Franklin Ave Ste 402
Berlin, MD 21811-1263
Phone (410) 641-2236

Other practice location 8

560 Riverside Dr Ste A206
Salisbury, MD 21801-4704
Phone (410) 912-5640

Other practice location 9

400 Eastern Shore Dr
Salisbury, MD 21804-5513
Phone (410) 749-8906

Other practice location 10

314 Franklin Ave Ste 108
Berlin, MD 21811-1236
Phone (410) 912-6023

Other practice location 11

1415 S Division St
Salisbury, MD 21804-7291
Phone (410) 572-8848

Other practice location 12

11105 Cathage Rd
Berlin, MD 21811-2131
Phone (410) 912-6330

Other practice location 13

314 Franklin Ave Ste 301
Berlin, MD 21811-1238
Phone (410) 628-0888

Other practice location 14

105 Milford St Ste 605
Salisbury, MD 21804-6952
Phone (410) 334-2227

Other practice location 15

30265 Commerce Dr Unit 104
Millsboro, DE 19966-3594
Phone (410) 749-4154

Other practice location 16

503 Health Services Dr
Seaford, DE 19973-5782
Phone (410) 749-4154

Other practice location 17

11107 Cathage Rd Unit 101
Ocean Pines, MD 21811-2155
Phone (410) 749-4154

Other practice location 18

1675 Woodbrooke Dr
Salisbury, MD 21804-8502
Phone (410) 749-4154

Other practice location 19

600 Glen Ave Ste 203
Salisbury, MD 21804-5263
Phone (410) 749-4154

Other practice location 20

641 S Salisbury Blvd
Salisbury, MD 21801-5429
Phone (410) 749-4154

Other practice location 21

1606 Savannah Rd Ste 1
Lewes, DE 19958-1656
Phone (410) 749-4154

Other practice location 22

329 Mullet Run
Milford, DE 19963-5373
Phone (410) 749-4154

Other practice location 23

424 Savannah Rd
Lewes, DE 19958-1462
Phone (410) 749-4154

Other practice location 24

18941 John J Williams Hwy
Rehoboth Beach, DE 19971-4404
Phone (410) 749-4154

Other practice location 25

801 Middleford Rd
Seaford, DE 19973-3636
Phone (410) 749-4154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200714000286 MD Part B Supplier - Clinic/Group Practice 7113340845 Receives reassigned benefits from 582 practitioners
Practice locations: Salisbury, MD; Ocean Pines, MD; Berlin, MD
O20210113000690 DE Part B Supplier - Clinic/Group Practice 7113340845 Receives reassigned benefits from 84 practitioners
Practice locations: Millsboro, DE; Seaford, DE

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

1606 Savannah Rd
Ste 1
Lewes, DE 19958
Phone (302) 645-2664

11101 Cathage Rd
Unit 102
Berlin, MD 21811
Phone (410) 912-6104

314 Franklin Ave
Ste 108
Berlin, MD 21811
Phone (410) 641-0182

105 Milford St
Ste 605
Salisbury, MD 21804
Phone (410) 334-2227

1415 S Division St
Salisbury, MD 21804
Phone (410) 572-8848

145 E Carroll St
Ste B102
Salisbury, MD 21801
Phone (410) 912-6172

200 E Vine St
Ste A
Salisbury, MD 21804
Phone (410) 543-7119

264 Tilghman Rd
Salisbury, MD 21804
Phone (410) 742-7246

400 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 543-2255

560 Riverside Dr
Ste 106
Salisbury, MD 21801
Phone (410) 543-7354

Practitioners & affiliated clinicians

Practitioners 620

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 620

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1619504735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015422",
            "telephone_number": "410-546-6400",
            "fax_number": "410-912-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015422",
            "telephone_number": "410-546-6400",
            "fax_number": "410-912-4972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1630 Woodbrooke Dr",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218048501",
            "country_code": "US",
            "telephone_number": "410-912-6114",
            "fax_number": "410-912-6115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9733 Healthway Dr",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "MD",
            "postal_code": "218111155",
            "country_code": "US",
            "telephone_number": "410-749-4154",
            "fax_number": "410-860-9583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10344 Old Ocean City Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "MD",
            "postal_code": "218111162",
            "country_code": "US",
            "telephone_number": "410-912-6021",
            "fax_number": "410-912-6022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "560 Riverside Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218014700",
            "country_code": "US",
            "telephone_number": "410-543-7354",
            "fax_number": "410-912-3616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "264 Tilghman Rd",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218041921",
            "country_code": "US",
            "telephone_number": "410-742-7246",
            "fax_number": "410-912-3610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "560 Riverside Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218014700",
            "country_code": "US",
            "telephone_number": "410-543-7727",
            "fax_number": "410-543-7772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "314 Franklin Ave Ste 402",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "MD",
            "postal_code": "218111263",
            "country_code": "US",
            "telephone_number": "410-641-2236",
            "fax_number": "410-641-1693",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "560 Riverside Dr Ste A206",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218014704",
            "country_code": "US",
            "telephone_number": "410-912-5640",
            "fax_number": "410-912-5787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Eastern Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218045513",
            "country_code": "US",
            "telephone_number": "410-749-8906",
            "fax_number": "410-749-4756",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "314 Franklin Ave Ste 108",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "MD",
            "postal_code": "218111236",
            "country_code": "US",
            "telephone_number": "410-912-6023",
            "fax_number": "410-912-6024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1415 S Division St",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218047291",
            "country_code": "US",
            "telephone_number": "410-572-8848",
            "fax_number": "410-912-7234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11105 Cathage Rd",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "MD",
            "postal_code": "218112131",
            "country_code": "US",
            "telephone_number": "410-912-6330",
            "fax_number": "410-912-4934",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "314 Franklin Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "MD",
            "postal_code": "218111238",
            "country_code": "US",
            "telephone_number": "410-628-0888",
            "fax_number": "410-629-0980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Milford St Ste 605",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218046952",
            "country_code": "US",
            "telephone_number": "410-334-2227",
            "fax_number": "410-334-3962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30265 Commerce Dr Unit 104",
            "address_purpose": "LOCATION",
            "city": "Millsboro",
            "state": "DE",
            "postal_code": "199663594",
            "country_code": "US",
            "telephone_number": "410-749-4154",
            "fax_number": "410-860-9583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "503 Health Services Dr",
            "address_purpose": "LOCATION",
            "city": "Seaford",
            "state": "DE",
            "postal_code": "199735782",
            "country_code": "US",
            "telephone_number": "410-749-4154",
            "fax_number": "410-860-9583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11107 Cathage Rd Unit 101",
            "address_purpose": "LOCATION",
            "city": "Ocean Pines",
            "state": "MD",
            "postal_code": "218112155",
            "country_code": "US",
            "telephone_number": "410-749-4154",
            "fax_number": "410-860-9583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1675 Woodbrooke Dr",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218048502",
            "country_code": "US",
            "telephone_number": "410-749-4154",
            "fax_number": "410-860-9583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Glen Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218045263",
            "country_code": "US",
            "telephone_number": "410-749-4154",
            "fax_number": "410-860-9583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "641 S Salisbury Blvd",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218015429",
            "country_code": "US",
            "telephone_number": "410-749-4154",
            "fax_number": "410-860-9583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1606 Savannah Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199581656",
            "country_code": "US",
            "telephone_number": "410-749-4154",
            "fax_number": "410-860-9583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "329 Mullet Run",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "DE",
            "postal_code": "199635373",
            "country_code": "US",
            "telephone_number": "410-749-4154",
            "fax_number": "410-860-9583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "424 Savannah Rd",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199581462",
            "country_code": "US",
            "telephone_number": "410-749-4154",
            "fax_number": "410-860-9583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18941 John J Williams Hwy",
            "address_purpose": "LOCATION",
            "city": "Rehoboth Beach",
            "state": "DE",
            "postal_code": "199714404",
            "country_code": "US",
            "telephone_number": "410-749-4154",
            "fax_number": "410-860-9583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Middleford Rd",
            "address_purpose": "LOCATION",
            "city": "Seaford",
            "state": "DE",
            "postal_code": "199733636",
            "country_code": "US",
            "telephone_number": "410-749-4154",
            "fax_number": "410-860-9583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TIDALHEALTH SPECIALTY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "PELOT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "410-543-7497"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.