Tidalhealth Specialty Care, LLC

Public-record details

Address

10231 Old Ocean City Blvd Ste 104, Berlin, MD 21811

Phone

(410) 629-6863

Listed under

Practices and organizations

NPI

1063374114

NPI status

Active in the NPPES registry

Provider type

Organization (practice, clinic or company)

Registered specialty (self-reported taxonomy)

Podiatrist (213E00000X)

NPI first issued

Nov 26, 2025

Years since NPI first issued

1 year (since 2025)

NPI record last updated

Jul 17, 2026

Medicare group enrollment (CMS)

Enrolled: listed in CMS Doctors & Clinicians as Tidalhealth Specialty Care LLC

Clinicians in the Medicare group (all specialties, CMS)

398

Podiatrists in the group at this ZIP (CMS)

1

Group Medicare assignment (CMS)

Accepts the Medicare-approved amount as payment in full

Other NPIs for this organization here

1033031133

NPI 1063374114 is active in the federal NPPES registry (CMS) with Podiatrist as its self-reported primary taxonomy. CMS Doctors & Clinicians lists a Medicare-enrolled group with this name at this ZIP. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-16.

Public record, not an endorsement. This listing was compiled from public records as of 2026-10-16 and may be incomplete or out of date. Podiatrist Index does not vet, employ, recommend or guarantee podiatry practices; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Podiatrist Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Podiatrists hold a Doctor of Podiatric Medicine (DPM) degree and are licensed by each state to treat the foot and ankle; the scope, especially for ankle surgery, varies by state. A registered specialty is not board certification. Confirm the license with the state podiatry board and board certification with the American Board of Foot and Ankle Surgery or the American Board of Podiatric Medicine.

View NPI 1063374114 in the official registry ↗