NPIMap

Organization Active NPI

Medical Imaging Center of Ocala LLP

  • Diagnostic Radiology Physician
  • Ocala, FL
National Provider Identifier
1669469045
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MEDICAL IMAGING CENTER OF OCALA LLP
Practice address
1490 SE Magnolia Ext
Ocala, FL 34471-4443
Phone
(352) 671-4300
Fax
(352) 732-4970
NPI assigned
Sep 30, 2005
Organization subpart
No

Practitioners 115

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

View all 115

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1079439Medical Imaging Center of Ocala1490 SE Magnolia Ave Ext, Ocala, FL 34471Certificate of waiverJan 30, 2028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PR, AL, TX, HI, UT, VI, GA, SC, MI, RI11 enrollments

Enrollment records 11

Enrollment IDStateProvider typePAC IDDetails
O20040318000671 FL Part B Supplier - Clinic/Group Practice 0345130787 Receives reassigned benefits from 92 practitioners
Practice locations: Ormond Beach, FL; Ponte Vedra, FL; Ponte Vedra Beach, FL; Port Orange, FL; Riverview, FL; St Augustine, FL; St Petersburg, FL; SW Ranches, FL…
O20200130001831 PR Part B Supplier - Clinic/Group Practice 0345130787 Receives reassigned benefits from 3 practitioners
Practice locations: Carolina, PR; Guaynabo, PR; San Juan, PR
O20200319003026 AL Part B Supplier - Clinic/Group Practice 0345130787 Receives reassigned benefits from 1 practitioner
Practice locations: Geneva, AL
O20200624000504 TX Part B Supplier - Clinic/Group Practice 0345130787 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX
O20200730000154 HI Part B Supplier - Clinic/Group Practice 0345130787 Practice locations: Honolulu, HI
O20230306001165 UT Part B Supplier - Clinic/Group Practice 0345130787 Receives reassigned benefits from 2 practitioners
Practice locations: Alpine, UT; Ogden, UT
O20240405003877 VI Part B Supplier - Clinic/Group Practice 0345130787 Receives reassigned benefits from 11 practitioners
Practice locations: St Thomas, VI; St. Thomas, VI
O20250304003516 GA Part B Supplier - Clinic/Group Practice 0345130787 Receives reassigned benefits from 2 practitioners
Practice locations: Alpharetta, GA; Braselton, GA; Gainesville, GA
O20250408002207 SC Part B Supplier - Clinic/Group Practice 0345130787 Receives reassigned benefits from 1 practitioner
Practice locations: North Augusta, SC
O20250630004111 MI Part B Supplier - Clinic/Group Practice 0345130787 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Rapids, MI
O20250825000349 RI Part B Supplier - Clinic/Group Practice 0345130787 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

31 SW 12th St
Ocala, FL 34471
Phone (352) 351-7222

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 Maximo (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)

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Caleb Ruben RiveraNPI 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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1490 SE Magnolia Ext
Ocala, FL 34471-4443

Mailing address

PO Box 160716
Altamonte Springs, FL 32716-0716
Phone (352) 671-4300

Other identifiers 1

IdentifierTypeStateIssuer
061084400MedicaidFL

Other names 1

  • Medical Imaging Center at Windsor Oaks Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1669469045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160716",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327160716",
            "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": "1490 SE MAGNOLIA EXT",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714443",
            "telephone_number": "352-671-4300",
            "fax_number": "352-732-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL IMAGING CENTER OF OCALA LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2025-09-02",
        "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"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061084400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Imaging Center at Windsor Oaks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.