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TIDALHEALTH PENINSULA REGIONAL, INC.
NPI 1982171005
Clinic/Center - Health Service in Salisbury, MD

Active since October 26, 2018
106 MILFORD ST STE 404, SALISBURY, MD 21804(410) 543-7294 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 26, 2020, Nov 6, 2018, Oct 26, 2018 (3 updates tracked since 2018).

About Tidalhealth Peninsula Regional, Inc. NPPES

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

TIDALHEALTH PENINSULA REGIONAL, INC. (NPI 1982171005) is a healthcare organization registered as a health service in Salisbury, Maryland and active in the NPI registry since October 2018. The organization maintains a secondary practice location in Salisbury and lists Mickey Griffin, Director Of Patient Financial Serv, as its authorized official.

NPPES Registry Identity

NPI1982171005
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameTIDALHEALTH PENINSULA REGIONAL, INC.
Location Address106 MILFORD ST STE 404Salisbury, MD 21804-6967
Mailing Address100 E Carroll StSalisbury, MD 21801-5422 · (410) 543-7437 · Fax (410) 543-7020
Phone(410) 543-7294
Organization SubpartNo
Authorized OfficialMickey GriffinDirector Of Patient Financial Serv · (410) 543-7437
Enumeration DateOctober 26, 2018
Last NPPES UpdateOctober 26, 20203 updates tracked since enumeration
NPPES CertifiedOctober 26, 2020
✔ NPI 1982171005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X
106 MILFORD ST STE 404, Salisbury, MD 21804
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Secondary Practice Location 1

Location 11336 Belmont Ave Ste 501ASalisbury, MD 21804-4500 · Phone (410) 543-7475 · Fax (410) 543-7478

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

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tidalhealth Peninsula Regional, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Harikisan Heda, M.D.
Cardiovascular Disease (Cardiology)
NPI 1790786036
614 EASTERN SHORE DR SUITE D
Salisbury, MD 21804
(410) 749-5419
✔ PECOS✔ Accepts Medicare1.4 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 Tidalhealth Peninsula Regional, Inc.'s NPI number?

The NPI number for Tidalhealth Peninsula Regional, Inc. is 1982171005. It was assigned to this organization in the NPPES registry on October 26, 2018.

Where is Tidalhealth Peninsula Regional, Inc. located?

Tidalhealth Peninsula Regional, Inc. is located at 106 Milford St Ste 404, Salisbury, MD 21804. The listed phone number is (410) 543-7294.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

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), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tidalhealth Peninsula Regional, Inc. was last updated on October 26, 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.