TIDALHEALTH PENINSULA REGIONAL, INC.
NPI 1780689463
General Acute Care Hospital in Salisbury, MD

Q: What is Tidalhealth Peninsula Regional, Inc.'s NPI number?

The NPI number for Tidalhealth Peninsula Regional, Inc. is 1780689463. It was assigned to this organization in the NPPES registry on June 17, 2005.

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

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Active since June 17, 2005

100 E CARROLL ST, SALISBURY, MD 21801(410) 546-6400(410) 543-7020 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Tidalhealth Peninsula Regional, Inc. NPPES

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

TIDALHEALTH PENINSULA REGIONAL, INC. (NPI 1780689463) is a healthcare organization registered as a general acute care hospital in Salisbury, Maryland and active in the NPI registry since June 2005. The organization lists Steven Leonard, President/c.e.o., as its authorized official.

NPPES Registry Identity

NPI1780689463

Entity TypeOrganization

Primary Taxonomy282N00000X

Legal Business NameTIDALHEALTH PENINSULA REGIONAL, INC.

Location Address100 E CARROLL STSalisbury, MD 21801-5422

Mailing Address100 E Carroll StSalisbury, MD 21801-5422 · (410) 546-6400 · Fax (410) 543-7020

Phone(410) 546-6400

Fax(410) 543-7020

Organization SubpartNo

Authorized OfficialSteven LeonardPresident/c.e.o. · (410) 546-6400

Enumeration DateJune 17, 2005

Last NPPES UpdateOctober 23, 2020

NPPES CertifiedOctober 23, 2020

✔ NPI 1780689463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral Acute Care HospitalHospitals

Taxonomy Code282N00000X

License✔ Licensed in MD · 22003

Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Also ListedClinical Medical LaboratoryTaxonomy 291U00000X · License 22003 (MD)

100 E CARROLL ST, Salisbury, MD 21801

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.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)

Tidalhealth Peninsula Regional, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

169

Medicare enrollment records show 169 clinicians reassign Medicare billing to Tidalhealth Peninsula Regional, Inc., which bills Medicare for the services they deliver. Of these, 50 practice at this address and 103 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 24

Nurse Practitioner52

Internal Medicine39

Cardiovascular Disease (Cardiology)12

Family Practice10

Neurology8

Hospitalist7

Gastroenterology6

Hematology/Oncology5

16 other specialties30

Nearest to this location (20)

See all 169

Mohammad Ahmad, MBBS

Internal Medicine

NPI 1194139451

100 E CARROLL ST
Salisbury, MD 21801

(800) 749-5191

✔ PECOS✔ Accepts MedicareSame address

Erin Ard, FNP

Nurse Practitioner

NPI 1770966772

100 E CARROLL ST
Salisbury, MD 21801

(410) 543-7536

✔ PECOS✔ Accepts MedicareSame address

Anam Ashfaque, M.D.

Hospitalist

NPI 1982083432

100 E CARROLL ST
Salisbury, MD 21801

(800) 749-5191

✔ PECOS✔ Accepts MedicareSame address

Habtamu Asrat, MD

Internal Medicine

NPI 1932456449

100 E CARROLL ST
Salisbury, MD 21801

(410) 543-7536

✔ PECOS✔ Accepts MedicareSame address

Nancy Benjamin Jean-Marie, M.D.

Family Practice

NPI 1699724203

100 E CARROLL ST
Salisbury, MD 21801

(410) 543-7536

✔ PECOS✔ Accepts MedicareSame address

William Cerrato, DO

Psychiatry

NPI 1497917942

100 E CARROLL ST
Salisbury, MD 21801

(800) 749-5191

✔ PECOS✔ Accepts MedicareSame address

Edwana Cottman, LCSW-C

Clinical Social Worker

NPI 1164927448

100 E CARROLL ST # 101102
Salisbury, MD 21801

(410) 630-7685

✔ PECOSSame address

Susan Cottongim, RD,LDN,CDE

Registered Dietitian or Nutrition Professional

NPI 1558586255

100 E CARROLL ST
Salisbury, MD 21801

(800) 749-5191

✔ Accepts MedicareSame address

Jeannette Daum, CRNP

Nurse Practitioner

NPI 1548772577

100 E CARROLL ST
Salisbury, MD 21801

(410) 546-6400

✔ PECOS✔ Accepts MedicareSame address

Thomas Demarco, MD

Urology

NPI 1194786160

100 E CARROLL ST
Salisbury, MD 21801

(410) 543-7252

✔ PECOSSame address

Walid El Ayass, M.D

Hematology/Oncology

NPI 1700078250

100 E CARROLL STREET
Salisbury, MD 21801

(410) 749-1282

✔ PECOS✔ Accepts MedicareSame address

Faran Ghumman, MD

Hospitalist

NPI 1902280449

100 E CARROLL ST
Salisbury, MD 21801

(800) 749-5191

✔ PECOS✔ Accepts MedicareSame address

Kimberly Gilbert, M.D.

Family Practice

NPI 1740458819

100 E CARROLL ST
Salisbury, MD 21801

(800) 749-5191

✔ PECOSSame address

Alyson Heenan, RD, LDN, CDCES

Registered Dietitian or Nutrition Professional

NPI 1285106393

100 E CARROLL ST
Salisbury, MD 21801

(410) 546-6400

✔ Accepts MedicareSame address

Fawad Khan, MD

Cardiovascular Disease (Cardiology)

NPI 1417183435

100 E CARROLL ST
Salisbury, MD 21801

(800) 749-5191

✔ PECOS✔ Accepts MedicareSame address

Saima Maqsood, M.D.

Psychiatry

NPI 1629276985

100 E CARROLL ST
Salisbury, MD 21801

(800) 749-5191

✔ PECOS✔ Accepts MedicareSame address

Eric Ofori, MD

Nephrology

NPI 1104057751

100 E CARROLL ST
Salisbury, MD 21801

(410) 546-6400

✔ PECOS✔ Accepts MedicareSame address

Yashvir Sangwan, M.D

Pulmonary Disease

NPI 1205097698

100 E CARROLL ST DIVISION OF PULMONARY AND CRITICAL CARE
Salisbury, MD 21801

(410) 546-6400

✔ PECOS✔ Accepts MedicareSame address

Channaiah Srikanth Mysore

Neurology

NPI 1881900652

100 E CARROLL ST
Salisbury, MD 21801

(800) 749-5191

✔ PECOS✔ Accepts MedicareSame address

James Todd, MD

Thoracic Surgery

NPI 1831165570

100 E CARROLL ST
Salisbury, MD 21801

(410) 546-1353

✔ PECOS✔ Accepts MedicareSame address

See all 169 clinicians

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 Tidalhealth Peninsula Regional, Inc.'s NPI number?

The NPI number for Tidalhealth Peninsula Regional, Inc. is 1780689463. It was assigned to this organization in the NPPES registry on June 17, 2005.

Where is Tidalhealth Peninsula Regional, Inc. located?

Tidalhealth Peninsula Regional, Inc. is located at 100 E Carroll St, Salisbury, MD 21801. The listed phone number is (410) 546-6400.

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

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

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), 169 clinicians in 24 Medicare specialties reassign 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. The largest specialties are Nurse Practitioner (52), Internal Medicine (39) and Cardiovascular Disease (Cardiology) (12). Of these, 50 practice at this address and 103 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tidalhealth Peninsula Regional, Inc. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and 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 23, 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.