Active NPI
Convenientmd LLC
- Family Medicine Physician
- Portland, ME
National Provider Identifier
1487316279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CONVENIENTMD LLC
- Practice address
- 211 Marginal Way
Portland, ME 04101-2467 - Phone
- (207) 517-3838
- NPI assigned
- Oct 8, 2021
- Last updated
- Jan 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ray Wahl
- Title
- Ceo
- Phone
- (603) 410-6700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
211 Marginal Way
Portland, ME 04101-2467
Mailing address
360 US Highway 1 Byp Unit 102
Portsmouth, NH 03801-7105
Phone (603) 410-6700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180220000535 | ME | Part B Supplier - Clinic/Group Practice | 2062667033 |
Receives reassigned benefits from 9 practitioners 12 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ellsworth, ME; Saco, ME; Sanford, ME; Westbrook, ME; Portland, ME; Bangor, ME; Augusta, ME; Auburn, ME… |
Other NPIs on the same Medicare enrollment 12
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769558400000",
"number": "1487316279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 US HIGHWAY 1 BYP UNIT 102",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038017105",
"telephone_number": "603-410-6700",
"fax_number": "603-309-9601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 MARGINAL WAY",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041012467",
"telephone_number": "207-517-3838"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONVENIENTMD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-08",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A",
"authorized_official_last_name": "WAHL",
"authorized_official_first_name": "RAY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "603-410-6700"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.