Tidewater Medical Care PC
NPI 1053558981 · Family Medicine Physician · Virginia Beach, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tidewater Medical Care PC is a Family Medicine Physician organization in Virginia Beach, VA (NPI 1053558981).
Provider details
- NPI number
- 1053558981
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Migdonia Montejo, Owner/President(757) 965-9465
- License
- 0101058505 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Tidewater Medical Care PC
Registry dates
- Enumerated
- 2009-01-14
- Last updated
- 2010-02-03
Frequently asked questions
- What is Tidewater Medical Care PC's NPI number?
- Tidewater Medical Care PC's National Provider Identifier (NPI) is 1053558981, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidewater Medical Care PC?
- Tidewater Medical Care PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Tidewater Medical Care PC located?
- Tidewater Medical Care PC's practice location on file with NPPES is 4608 Thoroughgood Drive, Virginia Beach, VA 23455.
- What is Tidewater Medical Care PC's phone number?
- The practice phone number listed in the NPPES registry for Tidewater Medical Care PC is (757) 965-9465.
- Does Tidewater Medical Care PC accept Medicare?
- Tidewater Medical Care PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tidewater Medical Care PC?
- The authorized official listed on Tidewater Medical Care PC's NPPES record is Migdonia Montejo, Owner/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidewater Medical Care PC's NPI active?
- Yes — Tidewater Medical Care PC's NPI (1053558981) is active in the NPPES registry as of the last update on 2010-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.