PENINSULA CANCER INSTITUTE LLC
NPI 1710180120
Internal Medicine - Hematology & Oncology in Chesapeake, VA
About Peninsula Cancer Institute Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PENINSULA CANCER INSTITUTE LLC (NPI 1710180120), doing business as Cancer Specialists Of Tidewater, is a healthcare organization registered as a hematology & oncology in Chesapeake, Virginia and active in the NPI registry since June 2007. The organization maintains 2 additional practice locations and lists Billie Jo Brown, Credentialing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 2
Group Practice 1
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 Cancer Institute Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
46Medicare enrollment records show 46 clinicians reassign Medicare billing to Peninsula Cancer Institute LLC, which bills Medicare for the services they deliver. Of these, 8 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 46Suffolk, VA 23435
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 Peninsula Cancer Institute LLC's NPI number?
The NPI number for Peninsula Cancer Institute LLC is 1710180120. It was assigned to this organization in the NPPES registry on June 6, 2007. The provider is doing business as Cancer Specialists of Tidewater.
Where is Peninsula Cancer Institute LLC located?
Peninsula Cancer Institute LLC is located at 110 Wimbledon Sq Ste E1, Chesapeake, VA 23320. The listed phone number is (757) 436-2995.
What is Peninsula Cancer Institute LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.
Is Peninsula Cancer Institute LLC enrolled in Medicare?
Yes. Peninsula Cancer Institute LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Peninsula Cancer Institute LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 46 clinicians in 7 Medicare specialties reassign their Medicare billing to Peninsula Cancer Institute LLC. 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 Hematology/Oncology (18), Nurse Practitioner (14) and Medical Oncology (9). Of these, 8 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Peninsula Cancer Institute LLC was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Peninsula Cancer Institute Llc · NPI 1710180120
Hematology & Oncology organization in Chesapeake, Virginia. Organization record, active in the CMS NPPES registry since June 6, 2007.
## Identity
- **NPI:** 1710180120 (Entity type: Organization)
- **Enumerated:** June 6, 2007
- **Primary specialty:** Internal Medicine - Hematology & Oncology · taxonomy 207RH0003X
- **Also known as:** Cancer Specialists of Tidewater (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Billie Jo Brown, CREDENTIALING MANAGER
## Practice location
- **Address:** 110 WIMBLEDON SQ STE E1, Chesapeake, VA 23320-4946
- **Phone:** (757) 436-2995 · **Fax:** (757) 436-2912
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 46 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Hematology/Oncology (18), Nurse Practitioner (14), Medical Oncology (9); 8 practice at this address; [full list](https://npiprofile.com/npi/1710180120/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1710180120) · Data from the CMS NPPES public registry.