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TIDALHEALTH PENINSULA REGIONAL, INC.
NPI 1538026505
Internal Medicine - Hematology & Oncology in Berlin, MD

Active since January 09, 2026
11105 CATHAGE RD, BERLIN, MD 21811(410) 912-4934 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tidalhealth Peninsula Regional, Inc. NPPES

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

TIDALHEALTH PENINSULA REGIONAL, INC. (NPI 1538026505) is a healthcare organization registered as a hematology & oncology in Berlin, Maryland and active in the NPI registry since January 2026. The organization lists Sloan Trammell, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1538026505
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameTIDALHEALTH PENINSULA REGIONAL, INC.
Location Address11105 CATHAGE RDBerlin, MD 21811-2131
Mailing Address11105 Cathage RdBerlin, MD 21811-2131 · (410) 912-4934
Phone(410) 912-4934
Organization SubpartNo
Authorized OfficialSloan TrammellCredentialing Manager · (410) 912-6989
Enumeration DateJanuary 9, 2026
NPPES CertifiedJanuary 9, 2026
✔ NPI 1538026505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
11105 CATHAGE RD, Berlin, MD 21811
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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

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PENINSULA REGIONAL MEDICAL CENTER
Internal Medicine (Hematology & Oncology)
11105 CATHAGE RD
BERLIN, MD 21811
Worcester County (410) 543-4788
DR. JOHN ROMEO MANSUETI M.D.
Radiology (Radiation Oncology)
11105 CATHAGE RD
BERLIN, MD 21811
Worcester County (410) 912-4966
ASSOCIATES IN RADIATION MEDICINE, PC
Radiology (Radiation Oncology)
11105 CATHAGE RD
BERLIN, MD 21811
Worcester County (410) 912-4966
TIDALHEALTH SPECIALTY CARE, LLC
Internal Medicine (Medical Oncology)
11105 CATHAGE RD
BERLIN, MD 21811
Worcester County (410) 912-4934
TIDALHEALTH PHYSICIAN NETWORK, INC.
Clinic/Center (Oncology)
11105 CATHAGE RD
BERLIN, MD 21811
Worcester County (410) 912-4934
DR. FLAVIO W KRUTER MD
Internal Medicine (Hematology & Oncology)
11105 CATHAGE RD
BERLIN, MD 21811
Worcester County (410) 912-4934

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 Tidalhealth Peninsula Regional, Inc.'s NPI number?

The NPI number for Tidalhealth Peninsula Regional, Inc. is 1538026505. It was assigned to this organization in the NPPES registry on January 9, 2026.

Where is Tidalhealth Peninsula Regional, Inc. located?

Tidalhealth Peninsula Regional, Inc. is located at 11105 Cathage Rd, Berlin, MD 21811. The listed phone number is (410) 912-4934.

What is Tidalhealth Peninsula Regional, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Tidalhealth Peninsula Regional, Inc. was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.