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CONVENIENTMD LLC
NPI 1649879651
Clinic/Center - Urgent Care in Dedham, MA

Active since October 21, 2020CLIA 22D2222112 · Waiver
983 BOSTON-PROVIDENCE TURNPIKE, DEDHAM, MA 02026(781) 819-6400(339) 234-6921 Get Directions Write a Review

NPPES record last updated: October 21, 2020. 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 1649879651) is a healthcare organization registered as an urgent care in Dedham, Massachusetts and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through December 14, 2026 and lists Jarod Boissonneault, Director Of Revenue Cycle Mgt, as its authorized official.

NPPES Registry Identity

NPI1649879651
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameCONVENIENTMD LLC
Location Address983 BOSTON-PROVIDENCE TURNPIKEDedham, MA 02026
Mailing Address111 Nh AvePortsmouth, NH 03801-2864 · (603) 410-6700
Phone(781) 819-6400
Fax(339) 234-6921
Organization SubpartNo
Authorized OfficialJarod BoissonneaultDirector Of Revenue Cycle Mgt · (603) 319-6223
Enumeration DateOctober 21, 2020
NPPES CertifiedOctober 19, 2020
✔ NPI 1649879651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
983 BOSTON-PROVIDENCE TURNPIKE, Dedham, MA 02026
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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 Medicare17 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 22D2222112

Convenientmd Urgent Care Dedham · Dedham, MA
Active · expires Dec 14, 2026
CLIA Number22D2222112
Laboratory TypeUrgent Care
Certificate Effective DateDecember 15, 2024
Certificate Expiration DateDecember 14, 2026
Laboratory DirectorDr. Shamrang Khalsa
Laboratory Phone(781) 819-6400
Laboratory LocationConvenientmd Urgent Care Dedham983 Boston-Providence Turnpike, Dedham, MA 02026
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 1649879651. It was assigned to this organization in the NPPES registry on October 21, 2020.

Where is Convenientmd LLC located?

Convenientmd LLC is located at 983 Boston-Providence Turnpike, Dedham, MA 02026. The listed phone number is (781) 819-6400.

What is Convenientmd LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

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 22D2222112) is associated with this NPI, valid through December 14, 2026. 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 October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.