Tidewater Kidney Specialists, Inc.
NPI 1053678839ActiveOrganization· Internal Medicine, Nephrology· Norfolk, VA
Internal Medicine, Nephrology in Norfolk, Virginia, registered in NPPES in April 2012. The authorized official on file is Elizabeth F. Skidmore, Practice Administrator.
Overview
| NPI | 1053678839 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 18, 2012 |
| Last updated in NPPES | Jan 20, 2022 |
| Certified by provider | Jan 20, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | — | — |
| Radiology, Vascular & Interventional Radiology | 2085R0204X | — | — |
| Surgery, Vascular Surgery | 2086S0129X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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