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CONVENIENTMD LLC
NPI 1780255596
Internal Medicine in Ludlow, MA

Active since July 03, 2021CLIA 22D2227661 · Waiver
471 CENTER ST, LUDLOW, MA 01056(413) 625-3500 Get Directions Write a Review

NPPES record last updated: July 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Convenientmd Llc NPPES

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

CONVENIENTMD LLC (NPI 1780255596) is a healthcare organization registered as an internal medicine in Ludlow, Massachusetts and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through February 13, 2027 and lists Jarod Boissonneault, Director Of Revenue Cycle Mgt, as its authorized official.

NPPES Registry Identity

NPI1780255596
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCONVENIENTMD LLC
Location Address471 CENTER STLudlow, MA 01056-2733
Mailing Address111 Nh AvePortsmouth, NH 03801-2864 · (603) 410-6700
Phone(413) 625-3500
Organization SubpartNo
Authorized OfficialJarod BoissonneaultDirector Of Revenue Cycle Mgt · (603) 319-6223
Enumeration DateJuly 3, 2021
NPPES CertifiedJuly 3, 2021
✔ NPI 1780255596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
471 CENTER ST, Ludlow, MA 01056
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 22D2227661

Convenientmd Urgent Care - Ludlow · Ludlow, MA
Active · expires Feb 13, 2027
CLIA Number22D2227661
Laboratory TypeUrgent Care
Certificate Effective DateFebruary 14, 2025
Certificate Expiration DateFebruary 13, 2027
Laboratory DirectorShamrang Khalsa
Laboratory Phone(413) 625-3500
Laboratory LocationConvenientmd Urgent Care - Ludlow471 Center St, Ludlow, MA 01056
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEANNA WOMACK PA-C
Physician Assistant
471 CENTER ST
LUDLOW, MA 01056
Hampden County (413) 625-3500
LILY NGUYEN PA-S
Physician Assistant
471 CENTER ST
LUDLOW, MA 01056
Hampden County (413) 625-3500
DJENANE MADMIRKA PIERRE PA
Physician Assistant
471 CENTER ST
LUDLOW, MA 01056
Hampden County (413) 625-3500
KIMBERLY RITA SMITH FNP
Nurse Practitioner (Family)
471 CENTER ST
LUDLOW, MA 01056
Hampden County (413) 625-3500
AQSA MAHAM PA-C
Physician Assistant
471 CENTER ST
LUDLOW, MA 01056
Hampden County (413) 625-3500
RACHEL SOJA PA-C
Physician Assistant
471 CENTER ST
LUDLOW, MA 01056
Hampden County (413) 625-3500
CONVENIENTMD - FFS UC LLC
Clinic/Center (Urgent Care)
471 CENTER ST
LUDLOW, MA 01056
Hampden County (413) 625-3500
MRS. ALLISON TAVARES FNP-BC
Nurse Practitioner
471 CENTER ST
LUDLOW, MA 01056
Hampden County (413) 625-3500

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 1780255596. It was assigned to this organization in the NPPES registry on July 3, 2021.

Where is Convenientmd LLC located?

Convenientmd LLC is located at 471 Center St, Ludlow, MA 01056. The listed phone number is (413) 625-3500.

What is Convenientmd LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Convenientmd LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2227661) is associated with this NPI, valid through February 13, 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 July 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.