NPIMap

Organization Active NPI

Convenientmd LLC

  • Rural Health Clinic/Center
  • Keene, NH
National Provider Identifier
1013795673
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CONVENIENTMD LLC
Practice address
351 Winchester St
Keene, NH 03431-3930
Phone
(603) 352-3406
NPI assigned
Sep 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jarod Boissonneault
Title
VP, Revenue Cycle MGT
Phone
(603) 319-6223

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

351 Winchester St
Keene, NH 03431-3930

Mailing address

360 Route 1 Byp Unit 102
Portsmouth, NH 03801-7105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231113002514 NH Part A Provider - Rural Health Clinic 2062667033 Practice locations: Keene, NH

Rural health clinic certification: CCN 308902

Legal name
CONVENIENTMD LLC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 28, 2023
Last certification
Dec 28, 2023
Ownership / control type
1B
Organization structure
LLCProprietary
Incorporated
Mar 6, 2012 in DE
Enrollment address
351 Winchester St
Keene, NH 03431

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Convenientmd LLC29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Bcdi CMD Intermediate, Inc Organization, Boston, MA LLC 5% Or Greater Indirect Ownership Interest Jun 9, 2021 100%
Bcdi CMD Parent, Inc. Organization, Boston, MA LLC 5% Or Greater Indirect Ownership Interest Jun 9, 2021 100%
Convenientmd Holdings, LLC Organization, Portsmouth, NH LLC 5% Or Greater Direct Ownership Interest Dec 16, 2014 100%
Bcdi CMD Holdings, L.P. Organization, Boston, MA LLC 5% Or Greater Indirect Ownership Interest Jun 9, 2021 100%
CMD Purchaser, LLC Organization, Portsmouth, NH LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2018 100%
Ray V Wahl Individual 5% Or Greater Indirect Ownership Interest Aug 15, 2025 1.66%
Corporate Officer Aug 15, 2025
W-2 Managing Employee Aug 15, 2025
Bcdi CMD Investment, L.P. Organization, Boston, MA LLC 5% Or Greater Indirect Ownership Interest Jun 9, 2021 81.7%

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Convenientmd LLC
    • Rural Health Clinic/Center
    • Littleton, NH
    • NPI 1003692310

    Bcdi CMD Holdings, L.P., Bcdi CMD Intermediate, Inc, Bcdi CMD Investment, L.P., Bcdi CMD Parent, Inc., CMD Purchaser, LLC, Convenientmd Holdings, LLC

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 26

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1013795673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 ROUTE 1 BYP UNIT 102",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 WINCHESTER ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313930",
            "telephone_number": "603-352-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENIENTMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "BOISSONNEAULT",
        "authorized_official_first_name": "JAROD",
        "authorized_official_title_or_position": "VP, REVENUE CYCLE MGT",
        "authorized_official_telephone_number": "603-319-6223"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

Verify at the official NPI Registry.