CONVENIENTMD LLC
NPI 1609694207
Clinic/Center - Primary Care in Portland, ME
About Convenientmd Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONVENIENTMD LLC (NPI 1609694207) is a healthcare organization registered as a primary care in Portland, Maine and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through September 13, 2028 and lists Gareth Dickens, Ceo, Managing Employee, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
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
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Convenientmd LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
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 20D2268554
Convenientmd Advancedprimary Care · Portland, MEFrequently 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 1609694207. It was assigned to this organization in the NPPES registry on October 1, 2024. The provider is also known as ConvenientMD Virtual Care.
Where is Convenientmd LLC located?
Convenientmd LLC is located at 211 Marginal Way, Portland, ME 04101. The listed phone number is (207) 544-9355.
What is Convenientmd LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
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), 8 clinicians in 3 Medicare specialties reassign 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. The largest specialties are Nurse Practitioner (6), Family Practice (1) and Internal Medicine (1). Of these, 1 practice at this address and 2 within 10 miles. 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 20D2268554) is associated with this NPI, valid through September 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Convenientmd LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Convenientmd LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Convenientmd LLC was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Convenientmd Llc · NPI 1609694207
Primary Care organization in Portland, Maine. Organization record, active in the CMS NPPES registry since October 1, 2024.
## Identity
- **NPI:** 1609694207 (Entity type: Organization)
- **Enumerated:** October 1, 2024
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** ConvenientMD Virtual Care (Other Name)
- **Organization subpart:** No
- **Authorized official:** Gareth Dickens, CEO, MANAGING EMPLOYEE
## Practice location
- **Address:** 211 MARGINAL WAY, Portland, ME 04101-2467
- **Phone:** (207) 544-9355 · **Fax:** (207) 544-7756
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Family Practice (1), Internal Medicine (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 1, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1609694207) · Data from the CMS NPPES public registry.