TIDALHEALTH SPECIALTY CARE, LLC
NPI 1659184919
Internal Medicine - Cardiovascular Disease in Berlin, MD
NPI Status: Active since January 30, 2025
Contact Information
11107 CATHAGE RD UNIT 201
BERLIN, MD
ZIP 21811
Phone: (410) 912-6726
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Organization
- Internal Medicine
- Cardiovascular Disease
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 cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1659184919 assigned on January 2025. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated July 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's
- NPI
- 1659184919
- Provider Legal Name
- TIDALHEALTH SPECIALTY CARE, LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 11107 CATHAGE RD UNIT 201 BERLIN, MD 21811
- Location Phone
- (410) 912-6726
- Mailing Address
- PO BOX 824327 PHILADELPHIA, PA 19182
- Mailing Phone
- (410) 912-6989
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-30-2025
- Last Update Date
- 07-22-2025
- Code Navigator
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.
Location Map
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 Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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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. | |||||||||
| 1 | 6 | 5 | 9 | 1 | 8 | 4 | 9 | 1 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 10 | 9 | 2 | 8 | 8 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 0 + 9 + 2 + 8 + 8 + 9 + 2 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1659184919 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1437245362 | JACQUES R CONAWAY M.D. Individual | Internal Medicine (Pulmonary Disease) | 11107 CATHAGE RD UNIT 201 BERLIN, MD 21811 (410) 912-6825 |
| 1538972666 | TIDALHEALTH SPECIALTY CARE, LLC Organization | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 11107 CATHAGE RD UNIT 201 BERLIN, MD 21811 (410) 912-6023 |
| 1700699907 | TIDALHEALTH SPECIALTY CARE, LLC Organization | Internal Medicine (Pulmonary Disease) | 11107 CATHAGE RD UNIT 201 BERLIN, MD 21811 (410) 912-6825 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659184919, enumerated in the NPI registry as an "organization" on January 30, 2025
The provider is located at 11107 Cathage Rd Unit 201 Berlin, Md 21811 and the phone number is (410) 912-6726
This medical organization specializes in Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease
This NPI record was last updated on January 30, 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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