PENINSULA REGIONAL MEDICAL CENTER BREAST CENTER
NPI 1033592662
Clinic/Center - Radiology, Mammography in Salisbury, MD
About Peninsula Regional Medical Center Breast Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PENINSULA REGIONAL MEDICAL CENTER BREAST CENTER (NPI 1033592662) is a healthcare organization registered as a radiology, mammography in Salisbury, Maryland and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through May 4, 2028 and lists Bruce Ritchie, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Peninsula Regional Medical Center Breast Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Peninsula Regional Medical Center Breast Center, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 21D2259406
Tidalhealth Peninsula Regional Inc Richard A Henso · Salisbury, MDFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tidalhealth Peninsula Regional, Inc.'s NPI number?
The NPI number for Tidalhealth Peninsula Regional, Inc. is 1033592662. It was assigned to this organization in the NPPES registry on July 1, 2015. The provider is also known as Peninsula Regional Medical Center Breast Center and TidalHealth Breast Center.
Where is Tidalhealth Peninsula Regional, Inc. located?
Tidalhealth Peninsula Regional, Inc. is located at 804 Snow Hill Rd, Salisbury, MD 21804. The listed phone number is (410) 543-7599.
What is Tidalhealth Peninsula Regional, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, Mammography, with taxonomy code 261QR0206X.
Is Tidalhealth Peninsula Regional, Inc. enrolled in Medicare?
Yes. Tidalhealth Peninsula Regional, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tidalhealth Peninsula Regional, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Tidalhealth Peninsula Regional, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Tidalhealth Peninsula Regional, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D2259406) is associated with this NPI, valid through May 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Tidalhealth Peninsula Regional, Inc. accept?
Health plans from Highmark Blue Cross Blue Shield Delaware list Tidalhealth Peninsula Regional, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tidalhealth Peninsula Regional, Inc. was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Peninsula Regional Medical Center Breast Center · NPI 1033592662
Radiology, Mammography organization in Salisbury, Maryland. Organization record, active in the CMS NPPES registry since July 1, 2015.
## Identity
- **NPI:** 1033592662 (Entity type: Organization)
- **Enumerated:** July 1, 2015
- **Primary specialty:** Clinic/Center - Radiology, Mammography · taxonomy 261QR0206X
- **Legal business name:** Tidalhealth Peninsula Regional, Inc.
- **Also known as:** TidalHealth Breast Center (Other Name)
- **Organization subpart:** Yes (part of Peninsula Regional Medical Center)
- **Authorized official:** Bruce Ritchie, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 804 SNOW HILL RD, Salisbury, MD 21804-1938
- **Phone:** (410) 543-7599
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (General Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 26, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1033592662) · Data from the CMS NPPES public registry.