NPIMap

Organization Active NPI

Stand Up MRI of Boca Raton Inc

  • Diagnostic Radiology Physician
  • Boca Raton, FL
National Provider Identifier
1306811104
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2004-17825 Issued in FL
Legal business name
STAND UP MRI OF BOCA RATON INC
Practice address
9080 Kimberly Blvd
Boca Raton, FL 33434-2862
Phone
(561) 470-1890
Fax
(561) 470-1891
NPI assigned
Feb 23, 2006
Last updated
Mar 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Timothy Damadian
Title
Owner
Phone
(631) 694-2929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2004-17825 FL Primary

Addresses

Primary practice location

9080 Kimberly Blvd
Boca Raton, FL 33434-2862

Mailing address

9080 Kimberly Blvd
Boca Raton, FL 33434-2862
Phone (561) 470-1890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031229000501 FL Part B Supplier - Clinic/Group Practice 9830097930 Receives reassigned benefits from 16 practitioners
Practice locations: Boca Raton, FL; Pinecrest, FL
O20260423002194 NY Part B Supplier - Clinic/Group Practice 9830097930 Receives reassigned benefits from 1 practitioner
Practice locations: Melville, NY

National Provider Directory

National Provider Directory

Locations

9080 Kimberly Blvd
Ste 14
Boca Raton, FL 33434
Phone (561) 470-1890

1851 W Hillsboro Blvd
Deerfield Beach, FL 33442
Phone (954) 570-8272

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1306811104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9080 KIMBERLY BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334342862",
            "telephone_number": "561-470-1890",
            "fax_number": "561-470-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9080 KIMBERLY BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334342862",
            "telephone_number": "561-470-1890",
            "fax_number": "561-470-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAND UP MRI OF BOCA RATON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "DAMADIAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-694-2929"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "2004-17825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.