NPIMap

Organization Active NPI

Massachusetts Bay Regional MRI Limited Partnership

Doing business as Shields Imaging - Dedham

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Dedham, MA
National Provider Identifier
1871939595
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
11087 Issued in MA
Legal business name
MASSACHUSETTS BAY REGIONAL MRI LIMITED PARTNERSHIP
Doing business as
Shields Imaging - Dedham
Practice address
40 Allied Dr
Ste 112
Dedham, MA 02026-6146
Phone
(781) 329-3201
Fax
(781) 329-3256
NPI assigned
May 21, 2013
Last updated
Apr 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Authorized official

Name
Kristen Delmore
Title
Cfo
Phone
(617) 376-7416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X 11087 MA Primary

Addresses

Primary practice location

40 Allied Dr
Ste 112
Dedham, MA 02026-6146

Mailing address

700 Congress St Ste 204
Quincy, MA 02169-0928

Other names 1

  • Shields Imaging - Dedham Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131001000472 MA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 0749248227 Practice locations: Dedham, MA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
22D2304547Massachusetts Bay Regional MRI, LP40 Allied Dr, Suite 112, Dedham, MA 02026Certificate of waiverMay 14, 2028

National Provider Directory

National Provider Directory
Tax ID family
Mass Bay Regional MRI Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

40 Allied Dr
#112
Dedham, MA 02026
Phone (781) 329-3201

40 Allied Dr
Ste 112
Dedham, MA 02026
Phone (781) 329-3201

700 Congress St
Ste 204
Quincy, MA 02169

Practitioners & affiliated clinicians

Practitioners 20

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 20

NPI Registry JSON

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1871939595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CONGRESS ST STE 204",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ALLIED DR",
            "address_2": "STE 112",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266146",
            "telephone_number": "781-329-3201",
            "fax_number": "781-329-3256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSACHUSETTS BAY REGIONAL MRI LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-21",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "DELMORE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "617-376-7416"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "MA",
            "license": "11087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shields Imaging - Dedham",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shields Imaging - Dedham",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dedham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.