Active NPI
Imaging Consultants Inc
- Mobile Radiology Clinic/Center
- Framingham, MA
National Provider Identifier
1487690335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- Legal business name
- IMAGING CONSULTANTS INC
- Practice address
- 761 Worcester Rd
Framingham, MA 01701-5224 - Phone
- (866) 245-5995
- NPI assigned
- Jun 21, 2006
- Reactivated
- Nov 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Bloom, MD
- Title
- President
- Phone
- (978) 552-2600
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | 440327 | MA | |
| Mobile Radiology Clinic/Center | 261QR0208X | Primary |
Addresses
Primary practice location
761 Worcester Rd
Framingham, MA 01701-5224
Mailing address
100 Bayview Cir Ste 400
Newport Beach, CA 92660-2984
Phone (949) 242-5384
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036769 | Other | MA | BCBS |
| 785146 | Other | MA | CONNECTICARE |
| 0008850 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 36984 | Other | MA | FALLON |
| 0421008 | Other | MA | CIGNA / HEALTHSOURCE |
| 1529871 | Medicaid | MA | |
| P00021368 | Other | MA | RAILROAD MEDICARE |
| 346646400 | Other | MA | U.S. DEPT OF LABOR OWCP |
| 626264 | Other | MA | HARVARD PILGRIM HLTH CARE |
| 713587 | Other | MA | TUFTS/ SECURE HORIZONS |
| 81020 | Other | MA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080724000502 | MA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 3870585284 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Worcester, MA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282003200000",
"number": "1487690335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BAYVIEW CIR STE 400",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602984",
"telephone_number": "949-242-5384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 WORCESTER RD",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017015224",
"telephone_number": "866-245-5995"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMAGING CONSULTANTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-21",
"last_updated": "2010-08-17",
"deactivation_date": "2006-06-22",
"reactivation_date": "2007-11-26",
"status": "A",
"authorized_official_last_name": "BLOOM",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "978-552-2600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "MA",
"license": "440327",
"primary": false
},
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "036769",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "785146",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0008850",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "36984",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA / HEALTHSOURCE",
"identifier": "0421008",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1529871",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00021368",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U.S. DEPT OF LABOR OWCP",
"identifier": "346646400",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HLTH CARE",
"identifier": "626264",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS/ SECURE HORIZONS",
"identifier": "713587",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "81020",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Framingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.