Penrad Imaging LLC
NPI 1417616624 · Diagnostic Radiology Physician · Grand Forks, ND
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Penrad Imaging LLC is a Diagnostic Radiology Physician organization in Grand Forks, ND (NPI 1417616624).
Provider details
- NPI number
- 1417616624
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Renee Ward, Ceo(719) 265-3765
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-12-15
- Last updated
- 2021-12-15
- Certified
- 2021-12-15
Frequently asked questions
- What is Penrad Imaging LLC's NPI number?
- Penrad Imaging LLC's National Provider Identifier (NPI) is 1417616624, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Penrad Imaging LLC?
- Penrad Imaging LLC is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Penrad Imaging LLC located?
- Penrad Imaging LLC's practice location on file with NPPES is 274 Sandpiper Ln, Grand Forks, ND 58201-3218.
- What is Penrad Imaging LLC's phone number?
- The practice phone number listed in the NPPES registry for Penrad Imaging LLC is (719) 593-1799.
- Does Penrad Imaging LLC accept Medicare?
- Penrad Imaging LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Penrad Imaging LLC?
- The authorized official listed on Penrad Imaging LLC's NPPES record is Renee Ward, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Penrad Imaging LLC's NPI active?
- Yes — Penrad Imaging LLC's NPI (1417616624) is active in the NPPES registry as of the last update on 2021-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.