NPIMap

Organization Active NPI

Riverbend Medical Group, Inc

  • Durable Medical Equipment & Medical Supplies
  • Springfield, MA
National Provider Identifier
1639280779
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RIVERBEND MEDICAL GROUP, INC
Practice address
305 Bicentennial Hwy
Springfield, MA 01118-1962
Phone
(413) 733-4101
Fax
(413) 796-6821
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Authorized official

Name
James M Harris
Title
Regional Director of Reimbursement
Phone
(860) 714-4396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

305 Bicentennial Hwy
Springfield, MA 01118-1962

Mailing address

305 Bicentennial Hwy
Springfield, MA 01118-1962
Phone (413) 733-4101

Other identifiers 1

IdentifierTypeStateIssuer
9782613MedicaidMA

Other names 2

  • Trinity Health Of New England Medical Group Doing business as
  • MWA,PC Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0702012Trinity Health of New England Medical Group305 Bicentennial Highway, Springfield, MA 01118Certificate of waiverMay 31, 2027
22D0945812Trinity Health of New England305 Bicentennial Highway, Springfield, MA 01118Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

904 Shaker Rd
#916
Longmeadow, MA 01106

305 Bicentennial Hwy
Springfield, MA 01118
Phone (413) 733-4101

395 Southampton Rd
Ste 100
Westfield, MA 01085
Phone (413) 485-4661

Practitioners & affiliated clinicians

Practitioners 291

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

View all 291

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1639280779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 BICENTENNIAL HWY",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011181962",
            "telephone_number": "413-733-4101",
            "fax_number": "413-796-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 BICENTENNIAL HWY",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011181962",
            "telephone_number": "413-733-4101",
            "fax_number": "413-796-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERBEND MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "860-714-4396"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9782613",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Health Of New England Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MWA,PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.