Organization Active NPI

Pet-CT Services by Tufts Medical Center and Shields LLC

Doing business as Shields PET/CT at Tufts Medical Center

  • Mobile Radiology Clinic/Center
  • Boston, MA
National Provider Identifier
1255623427
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
PET-CT SERVICES BY TUFTS MEDICAL CENTER AND SHIELDS LLC
Doing business as
Shields PET/CT at Tufts Medical Center
Practice address
800 Washington St
Boston, MA 02111-1552
Phone
(866) 258-4738
Fax
(888) 662-4700
NPI assigned
May 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Authorized official

Name
Kristen Delmore
Title
Cfo
Phone
(617) 376-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

800 Washington St
Boston, MA 02111-1552

Mailing address

700 Congress St Ste 204
Quincy, MA 02169-0928

Other identifiers 1

IdentifierTypeStateIssuer
110091894AMedicaidMA

Other names 1

  • Shields PET/CT at Tufts Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111130000617 MA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 4082888094 Practice locations: Boston, MA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Metrowest Petct at Shields Framingham in Affliation With Tufts Medica2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

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

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1255623427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CONGRESS ST STE 204",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552",
            "telephone_number": "866-258-4738",
            "fax_number": "888-662-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PET-CT SERVICES BY TUFTS MEDICAL CENTER AND SHIELDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-06",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "DELMORE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "617-376-7400"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110091894A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shields PET/CT at Tufts Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shields PET/CT at Tufts Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.

Verify at the official NPI Registry.