Individual provider Active NPI

Philip Conrad Hugo III, M.D.

  • Body Imaging Physician
  • Salisbury, MD
National Provider Identifier
1639125537
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
D53422 Issued in MD
Practice address
100 E Carroll St
Salisbury, MD 21801-5422
Phone
(410) 749-1124
Fax
(410) 749-1270
NPI assigned
May 25, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X D53422 MD Primary
Diagnostic Radiology Physician 2085R0202X D53422 MD

Addresses

Primary practice location

100 E Carroll St
Salisbury, MD 21801-5422

Mailing address

918 Eastern Shore Dr
Salisbury, MD 21804-6410
Phone (410) 749-1124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101112000221 MD Practitioner - Diagnostic Radiology 5890980106 Reassigns benefits to 3 organizations
I20101227000827 DE Practitioner - Diagnostic Radiology 5890980106 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidalhealth Physician Network, Inc.Group PAC ID 7315901253, 115 clinicians
Tidalhealth Specialty Care LLCGroup PAC ID 7113340845, 375 clinicians
Peninsula Imaging LLCGroup PAC ID 7810968286, 15 clinicians
Delmarva Radiology P aGroup PAC ID 9638068547, 15 clinicians

Practice addresses (Care Compare)

Seaford, DE 19973
Phone 30262966118802

100 E Carroll St
Salisbury, MD 21801-5422

1655 Woodbrooke Dr
Suite 101
Salisbury, MD 21804-2317
Phone (410) 749-1123

219 S Washington St
University of Maryland Medical Center at Ea
Easton, MD 21601-2913
Phone 41074911245678

801 Middleford Rd
Seaford, DE 19973-3636
Phone (302) 629-6611

9733 Healthway Dr
Berlin, MD 21811-1155
Phone (410) 912-4976

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D53422MDMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tidalhealth Physician Network, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Jan 1, 2026 Accepting new patients
Peninsula Imaging L.L.C. Body Imaging CurrentSince Jul 1, 1998 Accepting new patients

Locations

200 Rawlins Dr
Seaford, DE 19973
Phone (302) 536-5415

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

9733 Healthway Dr
Berlin, MD 21811
Phone (410) 641-1100

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

1655 Woodbrooke Dr
Ste 101
Salisbury, MD 21804
Phone (410) 749-1123

918 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 749-1123

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1639125537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 EASTERN SHORE DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046410",
            "telephone_number": "410-749-1124",
            "fax_number": "410-749-1270"
        },
        {
            "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": "410-749-1124",
            "fax_number": "410-749-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGO",
        "first_name": "PHILIP",
        "middle_name": "CONRAD",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "MD",
            "license": "D53422",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D53422",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.