Active NPI
David Fillmore, MD
- Diagnostic Radiology Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD224202
- Practice address
- 3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011 - Phone
- (503) 494-3918
- NPI assigned
- Dec 5, 2005
- Last updated
- Aug 12, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD2008-0074 | NM | |
| Vascular & Interventional Radiology Physician | 2085R0204X | MD2008-0074 | NM | |
| Diagnostic Radiology Physician | 2085R0202X | MD224202 | OR | Primary |
Addresses
Primary practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Mailing address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-3918
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E7354 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Yale University School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100
4901 Lang Ave NE
New Mexico Cancer Center
Albuquerque, NM 87109-4397
Phone (505) 842-8171
8020 Constitution PL NE
Suite 101
Albuquerque, NM 87110-7638
Phone (505) 998-1317
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15501 | AZ | MD | Pharmacist |
| 19724 | OK | MD | Pharmacist |
| 19727 | OK | MD | Pharmacist |
| MD2008-0074 | NM | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| X-Ray Associates of New Mexico PC | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Associates of New Mexico LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cibola General Hospital Corporation | Current | Accepting new patients | |
| KND Development 59, LLC | Current | Accepting new patients | |
| New Mexico Oncology Hematology Consultants, LTD. | Current | Accepting new patients | |
| Otero County Hospital Association | Current | Accepting new patients | |
| Otero County Hospital Association | Current | Accepting new patients | |
| KND Development 59 LLC | Current | Accepting new patients | |
| Portland Medical Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Specialists of the Northwest, PC | Diagnostic Radiology | Past | Accepting new patients |
| University Radiology Associates | Diagnostic Radiology | Past | Accepting new patients |
| Madison Medical LLC | Past | Accepting new patients | |
| The Oregon Clinic, PC | Past | Accepting new patients |
Locations
2539 Medical Dr
Ste 101
Alamogordo, NM 88310
Phone (505) 434-1353
2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100
10200 Corrales Rd NW
Ste B4
Albuquerque, NM 87114
8020 Constitution Pl NE
Ste 101
Albuquerque, NM 87110
Phone (505) 998-1317
8020 Constitution Pl NE
Ste 202
Albuquerque, NM 87110
Phone (505) 559-5628
504 Elm St NE
Albuquerque, NM 87102
Phone (505) 724-2000
700 High St NE
Albuquerque, NM 87102
Phone (505) 242-4444
4901 Lang Ave NE
Albuquerque, NM 87109
Phone (505) 828-3877
2240 College Dr
Gallup, NM 87301
Phone (505) 297-1052
1423 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-6500
1016 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-4446
3917 West Rd
Los Alamos, NM 87544
Phone (505) 661-9584
490A W Zia Rd
Santa Fe, NM 87505
Phone (505) 913-8900
4200 Beckner Rd
Santa Fe, NM 87507
Phone (505) 477-2200
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hematology & Oncology Physician
- Albuquerque, NM
- NPI 1164475232
-
dba CHRISTUS Southern New Mexico
- General Acute Care Hospital
- Alamogordo, NM
- NPI 1861450579
-
- Diagnostic Radiology Physician
- Albuquerque, NM
- NPI 1235105800
-
dba Cibola General Hospital
- Critical Access Hospital
- Grants, NM
- NPI 1780677039
-
- Diagnostic Radiology Physician
- Albuquerque, NM
- NPI 1629592464
-
- Hospitalist Physician
- Albuquerque, NM
- NPI 1215266754
-
dba Specialty Hospitals Broken Arrow
- Hospitalist Physician
- Broken Arrow, OK
- NPI 1922950823
-
dba CHRISTUS Pharmacy (Downtown)
- Community/Retail Pharmacy
- Alamogordo, NM
- NPI 1235948803
-
- Body Imaging Physician
- Portland, OR
- NPI 1932162906
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Portland, OR
- NPI 1699759498
-
- Durable Medical Equipment & Medical Supplies
- Portland, OR
- NPI 1346105129
-
- Durable Medical Equipment & Medical Supplies
- Tulsa, OK
- NPI 1750815411
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cibola General Hospital
- Critical Access Hospital
- Grants, NM
- NPI 1780677039
-
dba CHRISTUS Southern New Mexico
- General Acute Care Hospital
- Alamogordo, NM
- NPI 1861450579
-
dba Los Alamos Medical Center
- Rural Acute Care Hospital
- Los Alamos, NM
- NPI 1285701623
-
dba CHRISTUS St. Vincent Regional Medical Center
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1578587150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1255315057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-3918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-3918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FILLMORE",
"first_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NM",
"license": "MD2008-0074",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NM",
"license": "MD2008-0074",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OR",
"license": "MD224202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E7354",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.