Tidalhealth Primary Care, LLC
NPI 1699594960ActiveOrganization· Family Medicine· Berlin, MD
Family Medicine in Berlin, Maryland, registered in NPPES in October 2024. The authorized official on file is William Pelot, Chief Administrator Officer.
Overview
| NPI | 1699594960 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 4, 2024 |
| Last updated in NPPES | Jul 22, 2025 |
| Certified by provider | Jul 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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