TIDALHEALTH SPECIALTY CARE, LLC
NPI 1326837030
Internal Medicine - Hematology & Oncology in Berlin, MD

NPI Status: Active since May 01, 2025

Contact Information

11107 CATHAGE RD UNIT 104
BERLIN, MD
ZIP 21811
Phone: (410) 912-2858

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  • Organization
  • Internal Medicine
  • Hematology & Oncology

About TIDALHEALTH SPECIALTY CARE, LLC

This page provides the complete NPI Profile along with additional information for Tidalhealth Specialty Care, Llc, an internist established in Berlin, Maryland operating as a Internal Medicine, focusing in hematology & oncology . The healthcare provider is registered in the NPI registry with number 1326837030 assigned on May 2025. The practitioner's primary taxonomy code is 207RH0003X. The provider is registered as an organization and their NPI record was last updated July 2025. Tidalhealth Specialty Care, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's . The authorized official of this NPI record is William Pelot (Chief Administrative Officer)

NPI
1326837030
Provider Legal Name
TIDALHEALTH SPECIALTY CARE, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
11107 CATHAGE RD UNIT 104 BERLIN, MD 21811
Location Phone
(410) 912-2858
Mailing Address
PO BOX 825461 PHILADELPHIA, PA 19182
Mailing Phone
(410) 912-6053
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-01-2025
Last Update Date
07-22-2025
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An internist like Tidalhealth Specialty Care, Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Hematology & Oncology

Taxonomy Code
207RH0003X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WILLIAM PELOT

Authorized Official Title
CHIEF ADMINISTRATIVE OFFICER
Authorized Official Phone
(410) 543-7497

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1326837030
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23461631406
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 4 + 6 + 1 + 6 + 3 + 1 + 4 + 0 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1326837030 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326837030, enumerated in the NPI registry as an "organization" on May 01, 2025

The provider is located at 11107 Cathage Rd Unit 104 Berlin, Md 21811 and the phone number is (410) 912-2858

This medical organization specializes in Internal Medicine with taxonomy code 207RH0003X with a focus in Hematology & Oncology

This NPI record was last updated on May 01, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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