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CONVENIENTMD LLC
NPI 1508563800
Clinic/Center in Leominster, MA

Active since February 08, 2023CLIA 22D2276784 · Waiver
20 COMMERCIAL RD STE 2, LEOMINSTER, MA 01453(978) 798-6896 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Convenientmd Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONVENIENTMD LLC (NPI 1508563800) is a healthcare organization registered as a clinic/center in Leominster, Massachusetts and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through February 14, 2027 and lists Jarod Boissonneault, Vp, Revenue Cycle Mgt, as its authorized official.

NPPES Registry Identity

NPI1508563800
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCONVENIENTMD LLC
Location Address20 COMMERCIAL RD STE 2Leominster, MA 01453-3339
Mailing Address111 Nh AvePortsmouth, NH 03801-2864 · (603) 410-6700
Phone(978) 798-6896
Organization SubpartNo
Authorized OfficialJarod BoissonneaultVp, Revenue Cycle Mgt · (603) 319-6223
Enumeration DateFebruary 8, 2023
NPPES CertifiedFebruary 8, 2023
✔ NPI 1508563800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
20 COMMERCIAL RD STE 2, Leominster, MA 01453
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Convenientmd 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 Convenientmd LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kim Ariyabuddhiphongs, M.D.
Internal Medicine
NPI 1114950821
245 HARTFORD AVE
Bellingham, MA 02019
(774) 295-4355
✔ PECOS✔ Accepts Medicare32 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2276784

Convenientmd Urgent Care - Leominster · Leominster, MA
Active · expires Feb 14, 2027
CLIA Number22D2276784
Laboratory TypeUrgent Care
Certificate Effective DateFebruary 15, 2025
Certificate Expiration DateFebruary 14, 2027
Laboratory DirectorDr. Shamrang Khalsa
Laboratory Phone(978) 798-6896
Laboratory LocationConvenientmd Urgent Care - Leominster20 Commercial Road, Suite 2, Leominster, MA 01453
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Convenientmd LLC's NPI number?

The NPI number for Convenientmd LLC is 1508563800. It was assigned to this organization in the NPPES registry on February 8, 2023.

Where is Convenientmd LLC located?

Convenientmd LLC is located at 20 Commercial Rd Ste 2, Leominster, MA 01453. The listed phone number is (978) 798-6896.

What is Convenientmd LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Convenientmd LLC enrolled in Medicare?

Yes. Convenientmd LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Convenientmd LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Convenientmd 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.

Does Convenientmd LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2276784) is associated with this NPI, valid through February 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Convenientmd LLC was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.