Tidalhealth Primary Care, Llc

ActiveOrganizationFamily Medicine
NPI issued: November 26, 2025

Quick Facts

NPI Number
1366304420
TypeOrganization
StatusActive
SpecialtyFamily Medicine
Taxonomy207Q00000X — Family Medicine
Phone
(302) 436-8004
StateDE

NPI Validation Status: Verified

Valid 10-digit NPI number (1366304420)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (November 26, 2025)
Data source: CMS NPPES

Provider Overview

TIDALHEALTH PRIMARY CARE, LLC is a Family Medicine provider based in Selbyville, DE who has been registered with CMS since 2025. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1366304420
Provider TypeOrganization
StatusActive
Enumeration DateNovember 26, 2025

Practice Location

CitySelbyville
StateDE
ZIP Code19975-7514
Phone(302) 436-8004

Specialties & Licenses

★ Primary
SpecialtyFamily Medicine
Taxonomy Code207Q00000X
License StateDE

Mailing Address

CitySelbyville
StateDE
ZIP Code19975-7514
Phone(302) 436-8004
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1366304420 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1366304420for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1366304420 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

📊
199,317
Family Medicine Providers in the US

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People Also Ask

What is Tidalhealth Primary Care, Llc's NPI number?
Tidalhealth Primary Care, Llc's NPI number is 1366304420, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Tidalhealth Primary Care, Llc's NPI currently active?
Yes, Tidalhealth Primary Care, Llc's NPI status is Active as of the latest CMS NPPES database updates.
What does Tidalhealth Primary Care, Llc specialize in?
Tidalhealth Primary Care, Llc specializes in Family Medicine. The healthcare taxonomy code associated with this specialty is 207Q00000X.
Where does Tidalhealth Primary Care, Llc practice?
Tidalhealth Primary Care, Llc practices in Selbyville, DE 19975-7514.
When was Tidalhealth Primary Care, Llc's NPI issued?
Tidalhealth Primary Care, Llc's NPI was issued on November 26, 2025.
What is Tidalhealth Primary Care, Llc's provider type?
Tidalhealth Primary Care, Llc is registered as an Organization under CMS NPI Type 2.