Shields Imaging at Heywood Healthcare LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

SHIELDS IMAGING AT HEYWOOD HEALTHCARE LLC

Practice address

2033 Main St
Athol, MA 01331-3535

Phone

(800) 258-4674

NPI assigned

May 9, 2022

Last updated

Apr 17, 2026By the provider in NPPES

Organization subpart

No

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) 376-7400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Shields Imaging at Heywood Healthcare LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Gardner, MA
  • NPI 1447972286

  6204207053

  Same PAC ID

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

CLIA laboratory certificates

Tax ID family

Shields Imaging at Heywood Healthcare2 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.

• Shields Imaging at Heywood Healthcare LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Gardner, MA
  • NPI 1447972286
  NPD tax ID

Member of 1

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

• Heywood Medical Group Inc.

  • General Practice Physician
  • Gardner, MA
  • NPI 1699762286

  Member Of

  NPD member

Practitioners 2

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.

• Kamran Masood, M.D

  • Diagnostic Radiology Physician
  • Brockton, MA
  • NPI 1225525934
  NPD
• Stephen T Sweriduk, M.D.

  • Diagnostic Radiology Physician
  • Brockton, MA
  • NPI 1134126105
  NPD

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1982340410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CONGRESS ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 MAIN ST",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "013313535",
            "telephone_number": "800-258-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIELDS IMAGING AT HEYWOOD HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-09",
        "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": "617-376-7400"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Nicole Scott, BA
• Rosanna Selnekovic
• Christopher Shaddock
• Claudine Shaffer
• Linda Shaktman
• Mercy Simpson, NP
• Kristin Lee Smith
• Todd Soucie
• Timothy E Soule-Regine, MD
• Dwight K. Stowell Jr., D.M.D.

• Mobile Radiology Clinic/Center in Athol, MA
• Providers in Athol, MA by specialty
• Mobile Radiology Clinic/Center in Massachusetts

• 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.