Individual provider Active NPI

Kevin C Fillmore, MD

  • Diagnostic Radiology Physician
  • Doylestown, PA
National Provider Identifier
1124295993
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD433621 Issued in PA
Practice address
595 W State St
Doylestown, PA 18901-2554
Phone
(215) 345-2290
Fax
(215) 345-2596
NPI assigned
May 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD433621 PA Primary

Addresses

Primary practice location

595 W State St
Doylestown, PA 18901-2554

Mailing address

PO Box 830624
Philadelphia, PA 19182-0624
Phone (800) 666-1816

Other identifiers 1

IdentifierTypeStateIssuer
102139479-0001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080711000175 PA Practitioner - Diagnostic Radiology 8022180728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Temple University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parlee and Tatem Radiologic Associates LTDGroup PAC ID 4587555099, 15 clinicians

Practice addresses (Care Compare)

595 W State St
Doylestown, PA 18901-2554
Phone (215) 345-2290

Hospital & facility affiliations

  • Doylestown Hospital Hospital, Doylestown, PA, CCN 390203
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • St Luke'S Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057
  • St Luke'S Hospital - Upper Bucks Campus Hospital, Quakertown, PA, CCN 390035
  • Jefferson Einstein Philadelphia Hospital Hospital, Philadelphia, PA, CCN 390142

Merit-based Incentive Payment System (MIPS)

Final score
75.75 of 100Reported as group
Quality
51.5
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD433621PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parlee & Tatem Radiologic Associates, LTD. Diagnostic Radiology CurrentSince Jul 14, 2008 Accepting new patients

Locations

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

847 Easton Rd
Warrington, PA 18976
Phone (215) 345-0105

Organizations & group practices 1

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 6

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": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1124295993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 830624",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191820624",
            "telephone_number": "800-666-1816",
            "fax_number": "706-653-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 W STATE ST",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012554",
            "telephone_number": "215-345-2290",
            "fax_number": "215-345-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILLMORE",
        "first_name": "KEVIN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-12",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD433621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102139479-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.