TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC
NPI 1902848294
Family Medicine in Newport News, VA

Active since June 12, 2006
860 OMNI BLVD STE 401, NEWPORT NEWS, VA 23606(757) 232-8764 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 12, 2025, Dec 15, 2023, Dec 1, 2021 and 1 more (4 updates tracked since 2019).

About Tidewater Physicians Multispecialty Group Pc NPPES

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

TIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC (NPI 1902848294) is a healthcare organization registered as a family medicine in Newport News, Virginia and active in the NPI registry since June 2006. The organization lists Cecilia C Quintero, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1902848294
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTIDEWATER PHYSICIANS MULTISPECIALTY GROUP PC
Location Address860 OMNI BLVD STE 401Newport News, VA 23606-4430
Mailing Address860 Omni Blvd Ste 128Newport News, VA 23606-4483 · (757) 232-8769 · Fax (757) 232-8875
Organization SubpartNo
Authorized OfficialCecilia C QuinteroCredentialing Coordinator · (757) 964-8739
Enumeration DateJune 12, 2006
Last NPPES UpdateJune 12, 20254 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
✔ NPI 1902848294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X · License 182340975 (VA)
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 223741512 (VA)
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X · License 229641543 (VA)
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOphthalmologyTaxonomy 207W00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedSurgeryTaxonomy 208600000X
Also ListedUrologyTaxonomy 208800000X
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License 0103300835 (VA)
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
860 OMNI BLVD STE 401, Newport News, VA 23606

Other Identifiers 1

OtherCA6708VA · Railroad Medicare

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tidewater Physicians Multispecialty Group Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

350

Medicare enrollment records show 350 clinicians reassign Medicare billing to Tidewater Physicians Multispecialty Group PC, which bills Medicare for the services they deliver. Of these, 41 practice at this address and 164 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 36

Nurse Practitioner109
Family Practice85
Internal Medicine22
Certified Registered Nurse Anesthetist (CRNA)17
Physical Therapist in Private Practice14
Certified Nurse Midwife (CNM)11
Hospitalist7
Urology7
28 other specialties78

Nearest to this location (20)

See all 350
Internal Medicine
NPI 1811263411
860 OMNI BLVD STE 111
Newport News, VA 23606
(757) 369-8138
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1083505945
860 OMNI BLVD STE 115
Newport News, VA 23606
(757) 232-8844
✔ PECOSSame address
Nurse Practitioner
NPI 1396579421
860 OMNI BLVD STE 8
Newport News, VA 23606
(804) 843-3131
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1457433450
860 OMNI BLVD STE 108
Newport News, VA 23606
(757) 874-1077
✔ PECOS✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1558973966
860 OMNI BLVD STE 110
Newport News, VA 23606
(757) 223-9794
✔ PECOSSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1801333984
860 OMNI BLVD STE 104
Newport News, VA 23606
(757) 659-6285
✔ PECOS✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1558248849
860 OMNI BLVD STE 110
Newport News, VA 23606
(757) 223-9794
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1033508213
860 OMNI BLVD STE 104
Newport News, VA 23606
(757) 659-6285
✔ Accepts MedicareSame address
Family Practice
NPI 1699354431
860 OMNI BLVD STE 112
Newport News, VA 23606
(757) 659-6287
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1992967046
860 OMNI BLVD STE 107
Newport News, VA 23606
(757) 873-2562
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1720648595
860 OMNI BLVD STE 103
Newport News, VA 23606
(757) 223-9403
✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1740969138
860 OMNI BLVD STE 401
Newport News, VA 23606
(757) 232-8781
Same address
Obstetrics/Gynecology
NPI 1609860998
860 OMNI BLVD STE 110
Newport News, VA 23606
(757) 223-9794
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1003028812
860 OMNI BLVD STE 115
Newport News, VA 23606
(757) 232-8844
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1235134214
860 OMNI BLVD SUITE 201
Newport News, VA 23606
(757) 223-5321
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1427027978
860 OMNI BLVD STE 112
Newport News, VA 23606
(757) 232-8856
✔ PECOS✔ Accepts MedicareSame address
Sports Medicine
NPI 1205082039
860 OMNI BLVD SUITE 203
Newport News, VA 23606
(757) 327-0657
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1245201367
860 OMNI BLVD SUITE 102
Newport News, VA 23606
(757) 534-7975
✔ PECOSSame address
Diagnostic Radiology
NPI 1972712115
860 OMNI BLVD STE 109
Newport News, VA 23606
(757) 232-8769
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1881840569
860 OMNI BLVD STE 113
Newport News, VA 23606
(757) 327-0657
✔ PECOS✔ Accepts MedicareSame address
See all 350 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 Tidewater Physicians Multispecialty Group PC's NPI number?

The NPI number for Tidewater Physicians Multispecialty Group PC is 1902848294. It was assigned to this organization in the NPPES registry on June 12, 2006.

Where is Tidewater Physicians Multispecialty Group PC located?

Tidewater Physicians Multispecialty Group PC is located at 860 Omni Blvd Ste 401, Newport News, VA 23606. The listed phone number is (757) 232-8764.

What is Tidewater Physicians Multispecialty Group PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tidewater Physicians Multispecialty Group PC enrolled in Medicare?

Yes. Tidewater Physicians Multispecialty Group PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tidewater Physicians Multispecialty Group PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 350 clinicians in 36 Medicare specialties reassign their Medicare billing to Tidewater Physicians Multispecialty Group 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. The largest specialties are Nurse Practitioner (109), Family Practice (85) and Internal Medicine (22). Of these, 41 practice at this address and 164 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 Physicians Multispecialty Group PC was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.