Tidewater Foot Center LLC
NPI 1891137048 · Foot Surgery Podiatrist · Newport News, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tidewater Foot Center LLC is a Foot Surgery Podiatrist organization in Newport News, VA (NPI 1891137048).
Provider details
- NPI number
- 1891137048
- Entity type
- Organization
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Steven Prak, Sole Owner(757) 597-7699
- License
- 0103301081 (VA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
- 2013-07-29
- Last updated
- 2013-12-09
Frequently asked questions
- What is Tidewater Foot Center LLC's NPI number?
- Tidewater Foot Center LLC's National Provider Identifier (NPI) is 1891137048, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidewater Foot Center LLC?
- Tidewater Foot Center LLC is classified in the NPPES registry as Foot Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Tidewater Foot Center LLC located?
- Tidewater Foot Center LLC's practice location on file with NPPES is 126 Monarch Dr, Newport News, VA 23602-6884.
- What is Tidewater Foot Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Tidewater Foot Center LLC is (757) 597-1520.
- Does Tidewater Foot Center LLC accept Medicare?
- Tidewater Foot Center 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 Tidewater Foot Center LLC?
- The authorized official listed on Tidewater Foot Center LLC's NPPES record is Steven Prak, Sole Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidewater Foot Center LLC's NPI active?
- Yes — Tidewater Foot Center LLC's NPI (1891137048) is active in the NPPES registry as of the last update on 2013-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.