Individual provider Active NPI

Carlos J Jimenez, MD

  • Diagnostic Radiology Physician
  • Boca Raton, FL
National Provider Identifier
1669427241
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME0057285 Issued in FL
Practice address
800 Meadows Rd
Boca Raton, FL 33486-2304
Phone
(461) 391-1728
Fax
(561) 447-9352
NPI assigned
May 23, 2006
Last updated
Sep 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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 ME0057285 FL Primary

Addresses

Primary practice location

800 Meadows Rd
Boca Raton, FL 33486-2304

Mailing address

PO Box 810969
Boca Raton, FL 33481-0969
Phone (561) 447-9341

Other identifiers 3

IdentifierTypeStateIssuer
12273OtherFLBCBSFL
300017250OtherFLRAILROAD MEDICARE
054483200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NV2 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
I20040615000444 FL Practitioner - Diagnostic Radiology 2163314303 Reassigns benefits to 3 organizations
I20220620001917 NV Practitioner - Diagnostic Radiology 2163314303 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Florida College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

13695 US Hwy 1
Sebastian, FL 32958-3230
Phone (904) 399-5550

1425 Gateway Blvd
Suite 100
Boynton Beach, FL 33426-8313
Phone (561) 496-6935

1601 Clint Moore Rd
Suite 140
Boca Raton, FL 33487-5714
Phone (904) 399-5550

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

242 Borrego Dr
Henderson, NV 89074-1015
Phone (866) 674-7933

2565 S State Rd
Suite 7
Wellington, FL 33414-9368
Phone (561) 496-6935

3313 W Hillsboro Blvd
Suite 101
Deerfield Beach, FL 33442-9423
Phone (904) 399-5550

6080 Boynton Beach Blvd
Suite 140
Boynton Beach, FL 33437-3586
Phone (561) 496-6935

690 Meadows Rd
Boca Raton, FL 33486-2344
Phone (904) 399-5550

701 NW 13TH St
Boca Raton, FL 33486-2305
Phone (904) 399-5550

800 Meadows Rd
Boca Raton, FL 33486-2304
Phone (904) 399-5550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0057285FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Centers of America LLP Diagnostic Radiology CurrentSince Oct 15, 2007 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Dec 1, 2021 Accepting new patients
Radiology Associates of South Florida LLC Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Diagnostic Centers of America LLP Diagnostic Radiology CurrentSince Aug 16, 2004 Accepting new patients
ENT and Allergy Associates of Florida, LLC PastSince Jan 10, 2021 Accepting new patients
West Palm Beach Resources, Inc Past Accepting new patients
Biscayne Diagnostic Imaging Diagnostic Radiology Past Accepting new patients
West Palm Beach Resources, Inc Diagnostic Radiology Past Accepting new patients
South Florida Medical Imaging, PA Diagnostic Radiology PastSince Aug 8, 2021 Accepting new patients
Regional Diagnostics, LLC Diagnostic Radiology PastSince May 1, 2004 Accepting new patients
Pulmonary & Sleep Associates of South Florida PA Past Accepting new patients

Locations

1601 Clint Moore Rd
Ste 140
Boca Raton, FL 33487
Phone (561) 447-9341

701 NW 13th St
Boca Raton, FL 33486
Phone (561) 447-9341

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

8142 Glades Rd
Boca Raton, FL 33434
Phone (561) 314-2500

6080 Boynton Beach Blvd
Ste 140
Boynton Beach, FL 33437
Phone (561) 736-3227

3313 W Hillsboro Blvd
Ste 101
Deerfield Beach, FL 33442
Phone (954) 420-0100

15340 S Jog Rd
Ste 160
Delray Beach, FL 33446

2820 NE 214th St
Miami, FL 33180
Phone (786) 691-4151

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1669427241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 810969",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334810969",
            "telephone_number": "561-447-9341",
            "fax_number": "561-447-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MEADOWS RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862304",
            "telephone_number": "461-391-1728",
            "fax_number": "561-447-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "CARLOS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME0057285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "12273",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300017250",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054483200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.