Tidewater Medical Clinic PC
NPI 1467579482 · Internal Medicine Physician · Chesapeake, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tidewater Medical Clinic PC is a Internal Medicine Physician organization in Chesapeake, VA (NPI 1467579482).
Provider details
- NPI number
- 1467579482
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Luis Carpio, President(757) 549-9671
- License
- 0101055402 (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
19 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
Registry dates
- Enumerated
- 2007-03-23
- Last updated
- 2020-08-22
Frequently asked questions
- What is Tidewater Medical Clinic PC's NPI number?
- Tidewater Medical Clinic PC's National Provider Identifier (NPI) is 1467579482, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidewater Medical Clinic PC?
- Tidewater Medical Clinic PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Tidewater Medical Clinic PC located?
- Tidewater Medical Clinic PC's practice location on file with NPPES is 111 Coastal Way, Chesapeake, VA 23320-4603.
- What is Tidewater Medical Clinic PC's phone number?
- The practice phone number listed in the NPPES registry for Tidewater Medical Clinic PC is (757) 549-9671.
- Does Tidewater Medical Clinic PC accept Medicare?
- Tidewater Medical Clinic 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 Clinic PC?
- The authorized official listed on Tidewater Medical Clinic PC's NPPES record is Luis Carpio, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidewater Medical Clinic PC's NPI active?
- Yes — Tidewater Medical Clinic PC's NPI (1467579482) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.