TIDALHEALTH PENINSULA REGIONAL, INC.
TIDALHEALTH PENINSULA REGIONAL, INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1184832040, based in Salisbury, MD. The organization lists 15 taxonomy classifications, with Family Medicine Physician recorded as primary.
Getting there
The practice address on file is 100 E CARROLL ST PENINSULA REGIONAL MEDICAL GROUP, Salisbury, MD 21801. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 3072509702
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Family Medicine covers
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NUCC Health Care Provider Taxonomy, code 207Q00000X
All registered taxonomy codes
This provider registers 15 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | — | — | primary |
| 207P00000X | Emergency Medicine Physician | — | — | |
| 207R00000X | Internal Medicine Physician | — | — | |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician Endocrinology, Diabetes & Metabolism | — | — | |
| 207RG0100X | Gastroenterology Physician Gastroenterology | — | — | |
| 207RH0003X | Hematology & Oncology Physician Hematology & Oncology | — | — | |
| 207RP1001X | Pulmonary Disease Physician Pulmonary Disease | — | — | |
| 207T00000X | Neurological Surgery Physician | — | — | |
| 208000000X | Pediatrics Physician | — | — | |
| 208D00000X | General Practice Physician | — | — | |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | |
| 261QM0850X | Adult Mental Health Clinic/Center Adult Mental Health | — | — | |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center Adolescent and Children Mental Health | — | — | |
| 363A00000X | Physician Assistant | — | — | |
| 363LF0000X | Family Nurse Practitioner Family | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1184832040 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 21, 2007 |
| Last updated | Feb 28, 2023 |
| Status | Active |
| Practice address |
100 E CARROLL ST PENINSULA REGIONAL MEDICAL GROUP Salisbury, MD 21801 (410) 543-7252 Fax (410) 912-6386 |
| Other identifiers |
CC4271
· MEDICARE RRB (MD) CA8333 · MEDICARE RRB (MD) 0000241502 (DE) C10607 · MEDICARE PTAN (VA) K230 · MEDICARE NSC (MD) K230 · MEDICARE PTAN (MD) 401428600 (MD) CA8334 · MEDICARE RRB (DE) G01753 · MEDICARE NSC (DE) 525701800 (MD) C10607 · MEDICARE NSC (VA) CC3716 · MEDICARE RRB (MD) G01753 · MEDICARE PTAN (DE) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 8 | 4 | 8 | 3 | 2 | 0 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 7 | 4 | 7 | 3 | 4 | 0 | 8 |
Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.