NPIMap

Organization Active NPI

Timberridge Imaging Center

  • Diagnostic Radiology Physician
  • Ocala, FL
National Provider Identifier
1669460473
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
TIMBERRIDGE IMAGING CENTER
Practice address
9521 SW Highway 200
Ocala, FL 34481-7719
Phone
(352) 671-4300
Fax
(352) 401-3206
NPI assigned
Oct 6, 2005
Last updated
Feb 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Authorized official

Name
Caleb Ruben Rivera, MDNPI 1164410916
Title
President
Phone
(352) 671-4221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

9521 SW Highway 200
Ocala, FL 34481-7719

Mailing address

PO Box 880
Ocala, FL 34478-0880
Phone (352) 671-4300

Other identifiers 1

IdentifierTypeStateIssuer
373674100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PR, AL, CA, UT, VI, GA, SC, MI, RI10 enrollments

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
O20040318000633 FL Part B Supplier - Clinic/Group Practice 9436049863 Receives reassigned benefits from 92 practitioners
Practice locations: Ponte Vedra, FL; St Petersburg, FL; Ponte Vedra Beach, FL; Port Orange, FL; Riverview, FL; St Augustine, FL; SW Ranches, FL; Tampa, FL…
O20191008003992 PR Part B Supplier - Clinic/Group Practice 9436049863 Receives reassigned benefits from 3 practitioners
Practice locations: San Juan, PR; Carolina, PR; Guaynabo, PR
O20200415000768 AL Part B Supplier - Clinic/Group Practice 9436049863 Receives reassigned benefits from 1 practitioner
Practice locations: Geneva, AL
O20220216002058 CA Part B Supplier - Clinic/Group Practice 9436049863 Receives reassigned benefits from 1 practitioner
Practice locations: Encino, CA
O20230310000679 UT Part B Supplier - Clinic/Group Practice 9436049863 Receives reassigned benefits from 2 practitioners
Practice locations: Alpine, UT; Ogden, UT
O20240429003426 VI Part B Supplier - Clinic/Group Practice 9436049863 Receives reassigned benefits from 11 practitioners
Practice locations: St Thomas, VI; St. Thomas, VI
O20250320000771 GA Part B Supplier - Clinic/Group Practice 9436049863 Receives reassigned benefits from 2 practitioners
Practice locations: Alpharetta, GA; Gainesville, GA; Braselton, GA
O20250414000155 SC Part B Supplier - Clinic/Group Practice 9436049863 Receives reassigned benefits from 1 practitioner
Practice locations: North Augusta, SC
O20250505001011 MI Part B Supplier - Clinic/Group Practice 9436049863 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Rapids, MI
O20250822001166 RI Part B Supplier - Clinic/Group Practice 9436049863 Receives reassigned benefits from 1 practitioner
Practice locations: Warwick, RI

National Provider Directory

National Provider Directory

Member of 1

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

Locations

3400 E Halifax Crossing Blvd
Ste 170
Deltona, FL 32725

1901 SE 18th Ave
Ocala, FL 34471
Phone (352) 351-1313

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners & affiliated clinicians

Practitioners 115

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 115

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1669460473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344780880",
            "telephone_number": "352-671-4300",
            "fax_number": "352-671-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9521 SW HIGHWAY 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344817719",
            "telephone_number": "352-671-4300",
            "fax_number": "352-401-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERRIDGE IMAGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "CALEB",
        "authorized_official_middle_name": "RUBEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-671-4221",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373674100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.