Tidewater Kidney Specialists, Inc.
NPI 1053678839 · Nephrology Physician · Norfolk, VA
Tidewater Kidney Specialists, Inc. is a Nephrology Physician organization in Norfolk, VA (NPI 1053678839).
Provider details
- NPI number
- 1053678839
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Elizabeth Skidmore, Practice Administrator(757) 623-0005
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Vascular Surgery Physician2086S0129X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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 Vascular Access Center
- Doing business as
- Tidewater Vascular Access Center
Registry dates
- Enumerated
- 2012-04-18
- Last updated
- 2022-01-20
- Certified
- 2022-01-20
Frequently asked questions
- What is Tidewater Kidney Specialists, Inc.'s NPI number?
- Tidewater Kidney Specialists, Inc.'s National Provider Identifier (NPI) is 1053678839, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidewater Kidney Specialists, Inc.?
- Tidewater Kidney Specialists, Inc. is classified in the NPPES registry as Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Tidewater Kidney Specialists, Inc. located?
- Tidewater Kidney Specialists, Inc.'s practice location on file with NPPES is 814 Kempsville Rd, Norfolk, VA 23502-4001.
- What is Tidewater Kidney Specialists, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Tidewater Kidney Specialists, Inc. is (757) 623-0005.
- Who is the authorized official for Tidewater Kidney Specialists, Inc.?
- The authorized official listed on Tidewater Kidney Specialists, Inc.'s NPPES record is Elizabeth Skidmore, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidewater Kidney Specialists, Inc.'s NPI active?
- Yes — Tidewater Kidney Specialists, Inc.'s NPI (1053678839) is active in the NPPES registry as of the last update on 2022-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.