Peninsula Cancer Institute LLC
NPI 1710180120 · Hematology & Oncology Physician · Chesapeake, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peninsula Cancer Institute LLC is a Hematology & Oncology Physician organization in Chesapeake, VA (NPI 1710180120).
Provider details
- NPI number
- 1710180120
- Entity type
- Organization
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Billie Jo Brown, Credentialing Manager(757) 316-5901
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Medical Oncology Physician207RX0202X
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
3 documented practice locations
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
- Cancer Specialists of Tidewater
Additional practice locations (2)
- 5839 Harbour View Blvd Ste 100aSuffolk, VA 23435-3797Phone: (757) 397-4200Fax: (757) 397-3872
- 1200 First Colonial Rd Ste 204aVirginia Beach, VA 23454-2207Phone: (757) 363-8212Fax: (757) 363-2246
Registry dates
- Enumerated
- 2007-06-06
- Last updated
- 2026-04-23
- Certified
- 2026-04-23
Frequently asked questions
- What is Peninsula Cancer Institute LLC's NPI number?
- Peninsula Cancer Institute LLC's National Provider Identifier (NPI) is 1710180120, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peninsula Cancer Institute LLC?
- Peninsula Cancer Institute LLC is classified in the NPPES registry as Hematology & Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Peninsula Cancer Institute LLC located?
- Peninsula Cancer Institute LLC's practice location on file with NPPES is 110 Wimbledon Sq Ste E1, Chesapeake, VA 23320-4946.
- What is Peninsula Cancer Institute LLC's phone number?
- The practice phone number listed in the NPPES registry for Peninsula Cancer Institute LLC is (757) 436-2995.
- Does Peninsula Cancer Institute LLC accept Medicare?
- Peninsula Cancer Institute LLC 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 Peninsula Cancer Institute LLC?
- The authorized official listed on Peninsula Cancer Institute LLC's NPPES record is Billie Jo Brown, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peninsula Cancer Institute LLC's NPI active?
- Yes — Peninsula Cancer Institute LLC's NPI (1710180120) is active in the NPPES registry as of the last update on 2026-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.