Individual provider Active NPI

David Gallardo, MD

  • Radiation Oncology Physician
  • Medford, OR
National Provider Identifier
1114913282
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD218390 Issued in OR
Practice address
3011 E Barnett Rd
Medford, OR 97504-8301
Phone
(541) 789-4673
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X G77558 CA
Radiation Oncology Physician 2085R0001X MD218390 OR Primary

Addresses

Primary practice location

3011 E Barnett Rd
Medford, OR 97504-8301

Mailing address

2825 E Barnett Rd # MSS
Medford, OR 97504-8332
Phone (541) 789-4673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 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
I20041213000472 CA Practitioner - Radiation Oncology 0244297141 Reassigns benefits to 1 organization
Practice locations: Tulare, CA
I20240215002369 OR Practitioner - Radiation Oncology 0244297141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of California, Geffen School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Cancer FoundationGroup PAC ID 1951345347, 3 clinicians

Practice addresses (Care Compare)

2880 NW Stewart Pkwy
Suite 100
Roseburg, OR 97471-1203
Phone (541) 673-2267

Hospital & facility affiliations

  • Mercy Medical Center Hospital, Roseburg, OR, CCN 380027

Merit-based Incentive Payment System (MIPS)

Final score
46.95 of 100Reported as group
Quality
59.48
Improvement activities
0
Cost
77.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77558CAMDPharmacist
G77558CAMDRadiation Oncology Physician
MD218390ORMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Cancer Foundation Radiation Oncology CurrentSince Feb 19, 2024 Accepting new patients
Community Cancer Foundation CurrentSince Feb 19, 2024 Accepting new patients
Radiation Oncology Associates Medical Group, Inc. Dba. Oncology Care P Radiation Oncology Past Accepting new patients
J. Anthony Shaheen MD Inc PastSince Oct 1, 2003 Accepting new patients
Advanced Urology Health Center Inc Past Accepting new patients

Locations

2880 NW Stewart Pkwy
Ste 100
Roseburg, OR 97471
Phone (541) 673-2267

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1114913282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 E BARNETT RD # MSS",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048332",
            "telephone_number": "541-789-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 E BARNETT RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048301",
            "telephone_number": "541-789-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLARDO",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "G77558",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OR",
            "license": "MD218390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.