Tidewater Kidney Specialists, Inc.
NPI 1780624627 · Nephrology Physician · Virginia Beach, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tidewater Kidney Specialists, Inc. is a Nephrology Physician organization in Virginia Beach, VA (NPI 1780624627).
Provider details
- NPI number
- 1780624627
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Elizabeth Skidmore, Administrator(757) 623-0005
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Specialist174400000X
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2006-06-08
- 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 1780624627, 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 4445 Corporation Ln Ste 100, Virginia Beach, VA 23462-3666.
- 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.
- Does Tidewater Kidney Specialists, Inc. accept Medicare?
- Tidewater Kidney Specialists, Inc. 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 Kidney Specialists, Inc.?
- The authorized official listed on Tidewater Kidney Specialists, Inc.'s NPPES record is Elizabeth Skidmore, 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 (1780624627) 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.