NPIMap

Individual provider Active NPI

Tad T Renvyle, MD

  • Diagnostic Radiology Physician
  • Bedford, NH
National Provider Identifier
1437122231
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
11573 Issued in NH
Practice address
703 Riverway PL
Bedford, NH 03110-6745
Phone
(603) 627-1661
Fax
(603) 669-6944
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 11573 NH Primary
Diagnostic Radiology Physician 2085R0202X MD20616 ME

Addresses

Primary practice location

703 Riverway PL
Bedford, NH 03110-6745

Mailing address

703 Riverway PL
Bedford, NH 03110-6745
Phone (603) 627-1661

Other identifiers 1

IdentifierTypeStateIssuer
30202047MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address TRenvyle@snhrc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, ME2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100308000606 NH Practitioner - Diagnostic Radiology 6800978222 Reassigns benefits to 1 organization
I20220404002251 ME Practitioner - Diagnostic Radiology 6800978222 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of Ny Upstate Medical University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Desert Island HospitalGroup PAC ID 0941250963, 61 clinicians
Radiology Consultants of Maine LLCGroup PAC ID 3779703897, 14 clinicians

Practice addresses (Care Compare)

10 Wayman LN
Bar Harbor, ME 04609-1625
Phone (207) 288-5081

123 Medical Ctr Dr
Brunswick, ME 04011-2652
Phone (207) 729-0181

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD20616MEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Littleton Hospital Association CurrentSince Jan 30, 2016 Accepting new patients
Littleton Hospital Association CurrentSince Jan 30, 2016 Accepting new patients
Belfast Bay Radiology Diagnostic Radiology CurrentSince Apr 24, 2025 Accepting new patients
Mount Desert Island Hospital CurrentSince Oct 29, 2024 Accepting new patients
Mount Desert Island Hospital CurrentSince Oct 29, 2024 Accepting new patients
Franklin Imaging, PLLC Diagnostic Radiology CurrentSince May 11, 2024 Accepting new patients
Radiology Consultants of Maine, LLC Diagnostic Radiology CurrentSince Jun 11, 2024 Accepting new patients
Littleton Hospital Association Past Accepting new patients

Locations

322 Main St
Bar Harbor, ME 04609
Phone (207) 288-5082

10 Wayman Ln
Bar Harbor, ME 04609
Phone (207) 288-5082

118 Northport Ave
Belfast, ME 04915
Phone (207) 338-9345

123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800

111 Franklin Health Cmns
Farmington, ME 04938
Phone (207) 778-3326

1095 Profile Rd
Franconia, NH 03580
Phone (603) 823-8600

600 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-9000

Interoperability endpoints

  • Direct secure messaging: trenvyle@snhrc.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 41

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1437122231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 RIVERWAY PL",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106745",
            "telephone_number": "603-627-1661",
            "fax_number": "603-669-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 RIVERWAY PL",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106745",
            "telephone_number": "603-627-1661",
            "fax_number": "603-669-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENVYLE",
        "first_name": "TAD",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "11573",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ME",
            "license": "MD20616",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30202047",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TRenvyle@snhrc.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "703 Riverway Pl",
            "city": "Bedford",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031106745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.