OrganizationActive
Lung Specialists of Tidewater PLLC
NPI 1104461896 · Clinic/Center · Chesapeake, VA
Provider details
- NPI number
- 1104461896
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Himanshu Desai, Physician, Operating Manager(757) 354-7405
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
224 Avonlea Pointe
Chesapeake, VA 23322-4279
Phone: (757) 354-7405
Approximate (ZIP-level) locationGet directions
Mailing address
224 Avonlea Pointe
Chesapeake, VA 23322-4279
Registry dates
- Enumerated
- 2019-11-17
- Last updated
- 2019-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.