PENRAD IMAGING LLC
NPI 1417616624
Radiology - Diagnostic Radiology in Grand Forks, ND
About Penrad Imaging Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PENRAD IMAGING LLC (NPI 1417616624) is a healthcare organization registered as a diagnostic radiology in Grand Forks, North Dakota and active in the NPI registry since December 2021. The organization lists Renee Ward, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Penrad Imaging Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Penrad Imaging LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Penrad Imaging LLC's NPI number?
The NPI number for Penrad Imaging LLC is 1417616624. It was assigned to this organization in the NPPES registry on December 15, 2021.
Where is Penrad Imaging LLC located?
Penrad Imaging LLC is located at 274 Sandpiper Ln, Grand Forks, ND 58201. The listed phone number is (719) 593-1799.
What is Penrad Imaging LLC's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Penrad Imaging LLC enrolled in Medicare?
Yes. Penrad Imaging LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Penrad Imaging LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Diagnostic Radiology) reassigns their Medicare billing to Penrad Imaging LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Penrad Imaging LLC was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Penrad Imaging Llc · NPI 1417616624
Diagnostic Radiology organization in Grand Forks, North Dakota. Organization record, active in the CMS NPPES registry since December 15, 2021.
## Identity
- **NPI:** 1417616624 (Entity type: Organization)
- **Enumerated:** December 15, 2021
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** Renee Ward, CEO
## Practice location
- **Address:** 274 SANDPIPER LN, Grand Forks, ND 58201-3218
- **Phone:** (719) 593-1799 · **Fax:** (719) 265-3794
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Diagnostic Radiology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 15, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1417616624) · Data from the CMS NPPES public registry.