Tidalhealth Atlantic, Inc.
NPI 1003227729ActiveOrganization· Pharmacy· Berlin, MD
Pharmacy in Berlin, Maryland, registered in NPPES in May 2014. The authorized official on file is Stephanie Gary, Svp, Finance/Cfo Of Tidalhealth. Medicare paid $84,868 for services to 385 patients in 2024.
Overview
| NPI | 1003227729 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 15, 2014 |
| Last updated in NPPES | Mar 11, 2026 |
| Certified by provider | Mar 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | P06310 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (MD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 385 |
|---|---|
| Services billed | 1,130 across 9 procedure codes |
| Paid by Medicare | $84,868 |
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