Renaissance Primary Care, LLC
NPI 1649729021 · Internal Medicine Physician · Southbridge, MA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Renaissance Primary Care, LLC is a Internal Medicine Physician organization in Southbridge, MA (NPI 1649729021).
Provider details
- NPI number
- 1649729021
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- James Manuel, Psychologist(774) 420-2311
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 112 Westfield StWest Springfield, MA 01089-2577Phone: (774) 340-8791Fax: (508) 519-0763
Registry dates
- Enumerated
- 2016-09-27
- Last updated
- 2025-07-15
- Certified
- 2025-07-15
Frequently asked questions
- What is Renaissance Primary Care, LLC's NPI number?
- Renaissance Primary Care, LLC's National Provider Identifier (NPI) is 1649729021, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renaissance Primary Care, LLC?
- Renaissance Primary Care, LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Renaissance Primary Care, LLC located?
- Renaissance Primary Care, LLC's practice location on file with NPPES is 11-15 Sandersdale Road, Southbridge, MA 01550.
- What is Renaissance Primary Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Renaissance Primary Care, LLC is (774) 420-2311.
- Does Renaissance Primary Care, LLC accept Medicare?
- Renaissance Primary Care, 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 Renaissance Primary Care, LLC?
- The authorized official listed on Renaissance Primary Care, LLC's NPPES record is James Manuel, Psychologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renaissance Primary Care, LLC's NPI active?
- Yes — Renaissance Primary Care, LLC's NPI (1649729021) is active in the NPPES registry as of the last update on 2025-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.