Tidalhealth Specialty Care, LLC
NPI 1013532969ActiveOrganization· Internal Medicine, Gastroenterology· Salisbury, MD
Internal Medicine, Gastroenterology in Salisbury, Maryland, registered in NPPES in June 2020, part of Tidalhealth Specialty Care, LLC. The authorized official on file is William Pelot, Chief Administrative Officer.
Overview
| NPI | 1013532969 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Tidalhealth Specialty Care, LLC |
| NPI issued | Jun 16, 2020 |
| Last updated in NPPES | Jul 22, 2025 |
| Certified by provider | Jul 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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