TIDEWATER ENDOCRINE CONSULTANTS, PC
NPI 1811028152
Internal Medicine - Endocrinology, Diabetes & Metabolism in Chesapeake, VA

Q: What is Tidewater Endocrine Consultants, PC's NPI number?

The NPI number for Tidewater Endocrine Consultants, PC is 1811028152. It was assigned to this organization in the NPPES registry on March 8, 2007.

Q: What is Tidewater Endocrine Consultants, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Active since March 08, 2007

667 KINGSBOROUGH SQ, SUITE 300, CHESAPEAKE, VA 23320(757) 436-0909(757) 436-0168 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Tidewater Endocrine Consultants, Pc NPPES

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

TIDEWATER ENDOCRINE CONSULTANTS, PC (NPI 1811028152) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Chesapeake, Virginia and active in the NPI registry since March 2007. The organization lists Dwight Fitzgerald Matthias, President, as its authorized official.

NPPES Registry Identity

NPI1811028152

Entity TypeOrganization

Primary Taxonomy207RE0101X

Legal Business NameTIDEWATER ENDOCRINE CONSULTANTS, PC

Location Address667 KINGSBOROUGH SQ, SUITE 300Chesapeake, VA 23320-4999

Mailing AddressPo Box 1345Chesapeake, VA 23327-1345 · (757) 436-0909 · Fax (757) 436-0168

Phone(757) 436-0909

Fax(757) 436-0168

Organization SubpartNo

Authorized OfficialDwight Fitzgerald MatthiasPresident · (757) 436-0909

Enumeration DateMarch 8, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1811028152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in VA · 0101229098

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

667 KINGSBOROUGH SQ, Chesapeake, VA 23320

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tidewater Endocrine Consultants, Pc 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 Tidewater Endocrine Consultants, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dwight Matthias, MD

Endocrinology

NPI 1609805332

11803 JEFFERSON AVE PORT WARWICK MEDICAL ARTS SUITE 236
Newport News, VA 23606

(757) 594-1072

✔ PECOS✔ Accepts Medicare27 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 Endocrine Consultants, PC's NPI number?

The NPI number for Tidewater Endocrine Consultants, PC is 1811028152. It was assigned to this organization in the NPPES registry on March 8, 2007.

Where is Tidewater Endocrine Consultants, PC located?

Tidewater Endocrine Consultants, PC is located at 667 Kingsborough Sq Suite 300, Chesapeake, VA 23320. The listed phone number is (757) 436-0909.

What is Tidewater Endocrine Consultants, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Tidewater Endocrine Consultants, PC enrolled in Medicare?

Yes. Tidewater Endocrine Consultants, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tidewater Endocrine Consultants, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Endocrinology) reassigns their Medicare billing to Tidewater Endocrine Consultants, PC. 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.

When was this NPI record last updated?

The NPPES record for Tidewater Endocrine Consultants, PC was last updated on August 22, 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.