TIDEWATER ORTHOPAEDIC ASSOCIATES INC
NPI 1225058548
Orthopaedic Surgery in Hampton, VA

Active since July 20, 2006
901 ENTERPRISE PKWY STE 900, HAMPTON, VA 23666(757) 827-2480(757) 827-2566 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tidewater Orthopaedic Associates Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIDEWATER ORTHOPAEDIC ASSOCIATES INC (NPI 1225058548) is a healthcare organization registered as an orthopaedic surgery in Hampton, Virginia and active in the NPI registry since July 2006. The organization maintains 3 additional practice locations and lists Stacey Tanner Bell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1225058548
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameTIDEWATER ORTHOPAEDIC ASSOCIATES INC
Location Address901 ENTERPRISE PKWY STE 900Hampton, VA 23666-6250
Mailing Address901 Enterprise Parkway, Suite 900Hampton, VA 23666 · (757) 827-2480 · Fax (757) 282-5848
Fax(757) 827-2566
Organization SubpartNo
Authorized OfficialStacey Tanner BellCeo · (757) 827-2480
Enumeration DateJuly 20, 2006
Last NPPES UpdateMarch 22, 2024
NPPES CertifiedMarch 22, 2024
✔ NPI 1225058548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in VA · 78013
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
Also ListedClinic/Center · Occupational MedicineTaxonomy 261QX0100X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
901 ENTERPRISE PKWY STE 900, Hampton, VA 23666

Secondary Practice Locations 3

Location 14037 Ironbound RdWilliamsburg, VA 23188-2507 · Phone (757) 206-1004 · Fax (757) 645-3965
Location 23920A Bridge Rd Ste 305Suffolk, VA 23435-1126 · Phone (757) 251-2971 ext. 75728
Location 37007 Harbour View Blvd Ste 108Suffolk, VA 23435-3657 · Phone (757) 827-2480 · Fax (757) 827-2566

Other Identifiers 10

Other64835VA · Sentara Therapy Group#
Medicaid3001514667-0004VA
Other453382VA · Anthem Group Number
Other192680VA · Anthem Ot Group#
OtherCF1964Medicare Rr Group Number
Medicaid3001514667-0001VA
Medicaid3001514667-0005VA
Other371277300Us Dept Of Labor Group#
Other463139VA · Anthem Pt Group Number
Other500002VA · Sentara Vender Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tidewater Orthopaedic Associates Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateVirginiaEnrollment IDO20040207000398Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Tidewater Orthopaedic Associates Inc, which bills Medicare for the services they deliver. Of these, 15 practice at this address and 16 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Orthopedic Surgery7
Physical Therapist in Private Practice5
Occupational Therapist in Private Practice3
Hand Surgery1
Nurse Practitioner1
Sports Medicine1

Clinicians, nearest first (18)

Hand Surgery
NPI 1861490906
901 ENTERPRISE PARKWAY SUITE 900
Hampton, VA 23666
(757) 827-2480
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1417144197
901 ENTERPRISE PKWY STE 900
Hampton, VA 23666
(757) 827-2480
Same address
Physical Therapist in Private Practice
NPI 1992976435
901 ENTERPRISE PKWY STE 900
Hampton, VA 23666
(757) 827-2480
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1104597228
901 ENTERPRISE PKWY STE 900
Hampton, VA 23666
(757) 827-2480
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1861406761
901 ENTERPRISE PKWY STE 900
Hampton, VA 23666
(757) 827-2480
✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1760460570
901 ENTERPRISE PKWY STE 900
Hampton, VA 23666
(757) 827-2480
✔ PECOS✔ Accepts MedicareSame address
Sports Medicine
NPI 1447258587
901 ENTERPRISE PKWY STE 900
Hampton, VA 23666
(757) 827-2480
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1316142565
901 ENTERPRISE PKWY SUITE 900
Hampton, VA 23666
(757) 827-2480
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1750539359
901 ENTERPRISE PKWY STE 900
Hampton, VA 23666
(757) 827-2480
✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1598923906
901 ENTERPRISE PKWY SUITE 900
Hampton, VA 23666
(757) 827-2480
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1245238195
901 ENTERPRISE PKWY SUITE 900
Hampton, VA 23666
(757) 827-2480
✔ PECOS✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1093603797
901 ENTERPRISE PKWY
Hampton, VA 23666
(757) 827-2480
✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1215116207
901 ENTERPRISE PKWY SUITE 900
Hampton, VA 23666
(757) 827-2422
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1568993673
901 ENTERPRISE PKWY STE 900
Hampton, VA 23666
(757) 827-2480
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1639228356
901 ENTERPRISE PKWY STE 900
Hampton, VA 23666
(757) 827-2480
✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1538435581
TIDEWATER ORTHOPAEDICS 901 ENTERPRISE PARKWAY, SUITE 900
Hampton, VA 23666
(757) 827-2480
✔ PECOS✔ Accepts Medicare1.8 mi
Occupational Therapist in Private Practice
NPI 1801104922
100 WIMBLEDON SQ
Chesapeake, VA 23320
(757) 547-5145
✔ Accepts Medicare23 mi
Occupational Therapist in Private Practice
NPI 1467008136
1717 WILL O WISP DR STE 100
Virginia Beach, VA 23454
(757) 422-8476
✔ Accepts Medicare25 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently 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 Tidewater Orthopaedic Associates Inc's NPI number?

The NPI number for Tidewater Orthopaedic Associates Inc is 1225058548. It was assigned to this organization in the NPPES registry on July 20, 2006.

Where is Tidewater Orthopaedic Associates Inc located?

Tidewater Orthopaedic Associates Inc is located at 901 Enterprise Pkwy Ste 900, Hampton, VA 23666. The listed phone number is (757) 827-2480.

What is Tidewater Orthopaedic Associates Inc's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Tidewater Orthopaedic Associates Inc enrolled in Medicare?

Yes. Tidewater Orthopaedic Associates Inc is registered in the Medicare PECOS enrollment system.

When is Tidewater Orthopaedic Associates Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Virginia, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Tidewater Orthopaedic Associates Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 6 Medicare specialties reassign their Medicare billing to Tidewater Orthopaedic Associates 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. The largest specialties are Orthopedic Surgery (7), Physical Therapist in Private Practice (5) and Occupational Therapist in Private Practice (3). Of these, 15 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tidewater Orthopaedic Associates Inc was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.