Individual provider Active NPI

Luis A Jimenez, MD

  • Diagnostic Radiology Physician
  • Ocala, FL
National Provider Identifier
1144291386
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME79518 Issued in FL
Practice address
6035 SW 54TH St
Suite 101
Ocala, FL 34474-5519
Phone
(352) 857-9132
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME79518 FL Primary

Addresses

Primary practice location

6035 SW 54TH St
Suite 101
Ocala, FL 34474-5519

Mailing address

6035 SW 54TH St
Suite 101
Ocala, FL 34474-5519
Phone (352) 857-9132

Other identifiers 3

IdentifierTypeStateIssuer
V2459OtherFLBCBS
272789700MedicaidFL
V2461OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050618000098 FL Practitioner - Diagnostic Radiology 7012979495 Reassigns benefits to 7 organizations
I20210521000989 VI Practitioner - Diagnostic Radiology 7012979495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Florida College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Imaging Center of Ocala LLPGroup PAC ID 0345130787, 48 clinicians
Radiology Imaging Associates LLCGroup PAC ID 2466342803, 182 clinicians
Inverness Medical Imaging LLCGroup PAC ID 3870590672, 83 clinicians
Ocala Health Imaging Services LLCGroup PAC ID 8224217179, 48 clinicians
St Thomas Radiology Associates LLCGroup PAC ID 0042235137, 74 clinicians
Timberridge Imaging CenterGroup PAC ID 9436049863, 49 clinicians

Practice addresses (Care Compare)

1490 SE Magnolia Ave
Ocala, FL 34471-4443
Phone (352) 671-4300

1490 SE Magnolia Ext
Ocala, FL 34471-4443
Phone (352) 732-7400

2105 Hwy 44 W
Inverness, FL 34453-3805
Phone (352) 419-4818

2300 SE 17TH St
Suite 800
Ocala, FL 34471-9142
Phone (352) 690-8403

4975 SW 36TH LN
Ocala, FL 34474-9480
Phone (386) 274-7118

9048 Sugar Est
St Thomas, VI 00802-3634
Phone (340) 776-8311

9521 SW Hwy 200
Ocala, FL 34481-7719
Phone (352) 671-4300

Hospital & facility affiliations

  • Tampa General Hospital Crystal River Hospital, Crystal River, FL, CCN 100249
  • Adventhealth Ocala Hospital, Ocala, FL, CCN 100062

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.68 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.28

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Thomas Radiology Associates LLC Diagnostic Radiology CurrentSince Oct 23, 2020 Accepting new patients
Timberridge Imaging Center Diagnostic Radiology CurrentSince Oct 1, 2019 Accepting new patients
Tampa General Hospital Current Accepting new patients
Saint Martin de Porres Medical Center Inc Current Accepting new patients
Radiology Imaging Associates, LLC Diagnostic Radiology CurrentSince Oct 1, 2019 Accepting new patients
Ocala Health Imaging Services LLC Diagnostic Radiology CurrentSince Sep 22, 2019 Accepting new patients
East Central Florida Outpatient Imaging LLC Diagnostic Radiology CurrentSince Dec 24, 2019 Accepting new patients
Medical Imaging Center of Ocala LLP Diagnostic Radiology CurrentSince Oct 1, 2019 Accepting new patients
Inverness Medical Imaging LLC Diagnostic Radiology CurrentSince Jul 18, 2022 Accepting new patients
Medical Imaging Center of Ocala LLP Diagnostic Radiology PastSince Feb 11, 2024 Accepting new patients
St. Thomas Radiology Associates, LLC Diagnostic Radiology Past Accepting new patients

Locations

577 N Williamson Blvd
Daytona Beach, FL 32114

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

1673 Mason Ave
Ste 305
Daytona Beach, FL 32117
Phone 3862747118 ext. 7704

1890 Lpga Blvd
Ste 110
Daytona Beach, FL 32117
Phone 3862747118 ext. 7704

2105 Highway 44 W
Inverness, FL 34453
Phone (352) 419-4818

6035 SW 54th St
Ste 101
Ocala, FL 34474
Phone (352) 237-9361

9521 SW Highway 200
Ocala, FL 34481
Phone (352) 351-7500

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

1901 SE 18th Ave
Ste 200
Ocala, FL 34471
Phone (352) 671-2533

1901 SE 18th Ave
Ste 200A
Ocala, FL 34471
Phone (352) 671-4252

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

1490 SE Magnolia Ext
Ocala, FL 34471
Phone (352) 512-9703

2300 SE 17th St
Ste 800
Ocala, FL 34471
Phone (352) 690-8403

1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425

2128 Park Ave
Orange Park, FL 32073
Phone (904) 264-9922

1195 Dunlawton Ave
Port Orange, FL 32127
Phone (386) 763-5300

1041 Dunlawton Ave
Pt Orange, FL 32127
Phone (386) 322-4700

4500 Sunny Isle
Ste 4B
Christiansted, VI 00820
Phone (340) 778-5840

9048 Sugar Est
St Thomas, VI 00802
Phone (340) 693-6211

9149 Estate Thomas
Ste 103
St Thomas, VI 00802
Phone (340) 643-0931

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ljimenez297069@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://api.platform.athenahealth.com/14976/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475193600000",
    "number": "1144291386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 SW 54TH ST",
            "address_2": "SUITE 101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745519",
            "telephone_number": "352-857-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 SW 54TH ST",
            "address_2": "SUITE 101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745519",
            "telephone_number": "352-857-9132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "LUIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2016-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME79518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "V2459",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272789700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "V2461",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.