NPIMap

Organization Active NPI

Peninsula Nephrology Associates, PA

  • Nephrology Physician
  • Salisbury, MD
National Provider Identifier
1811916976
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
PENINSULA NEPHROLOGY ASSOCIATES, PA
Practice address
1821 Sweetbay Dr Ste 1
Salisbury, MD 21804-1664
Phone
(410) 546-4427
Fax
(443) 736-4671
NPI assigned
Jul 19, 2006
Last updated
Jun 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Authorized official

Name
Tasia Powers
Title
Practice Administrator
Phone
(410) 546-4427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

1821 Sweetbay Dr Ste 1
Salisbury, MD 21804-1664

Mailing address

1821 Sweetbay Dr Ste 1
Salisbury, MD 21804-1664
Phone (410) 546-4427

Other practice location 1

165 Market St Ste 6
Onancock, VA 23417-4233
Phone (757) 505-5027

Other practice location 2

11107 Racetrack Rd
Berlin, MD 21811-3279
Phone (410) 973-2731

Other identifiers 1

IdentifierTypeStateIssuer
913731900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050315000288 MD Part B Supplier - Clinic/Group Practice 4486641677 Receives reassigned benefits from 12 practitioners
Practice locations: Salisbury, MD; Berlin, MD
O20220307000229 VA Part B Supplier - Clinic/Group Practice 4486641677 Receives reassigned benefits from 3 practitioners
Practice locations: Onancock, VA

National Provider Directory

National Provider Directory

Locations

1340 S Division St
Ste 302
Salisbury, MD 21804
Phone (410) 546-4427

1821 Sweetbay Dr
#1
Salisbury, MD 21804
Phone (410) 546-4427

1821 Sweetbay Dr
Ste 1
Salisbury, MD 21804
Phone (410) 546-4427

1821 Sweetbay Dr
Ste 2
Salisbury, MD 21804

165 Market St
Ste 6
Onancock, VA 23417
Phone (757) 505-5027

Practitioners & affiliated clinicians

Practitioners 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1811916976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 SWEETBAY DR STE 1",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041664",
            "telephone_number": "410-546-4427",
            "fax_number": "443-736-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 SWEETBAY DR STE 1",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041664",
            "telephone_number": "410-546-4427",
            "fax_number": "443-736-4671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 Market St Ste 6",
            "address_purpose": "LOCATION",
            "city": "Onancock",
            "state": "VA",
            "postal_code": "234174233",
            "country_code": "US",
            "telephone_number": "757-505-5027",
            "fax_number": "757-505-5147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11107 Racetrack Rd",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "MD",
            "postal_code": "218113279",
            "country_code": "US",
            "telephone_number": "410-973-2731",
            "fax_number": "410-973-2993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PENINSULA NEPHROLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "TASIA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "410-546-4427"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "913731900",
            "state": "MD"
        }
    ],
    "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 Jun 3, 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.