Individual provider Active NPI

Colin E. Champ, M.D.

  • Radiation Oncology Physician
  • Pittsburgh, PA
National Provider Identifier
1003138868
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD448624 Issued in PA
Practice address
4800 Friendship Ave Ste Gr508
Pittsburgh, PA 15224-1722
Phone
(412) 578-1923
Fax
(412) 578-1936
NPI assigned
Feb 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD448624 PA Primary

Addresses

Primary practice location

4800 Friendship Ave Ste Gr508
Pittsburgh, PA 15224-1722

Mailing address

4800 Friendship Ave Ste Gr508
Pittsburgh, PA 15224-1722
Phone (412) 578-1923

Other practice location 1

12311 Perry Hwy
Wexford, PA 15090-8344
Phone (878) 332-4049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NC2 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
I20130702000047 PA Practitioner - Radiation Oncology 6002056777 Reassigns benefits to 3 organizations
I20191116000272 NC Practitioner - Radiation Oncology 6002056777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Jefferson Medical College of Thomas Jefferson University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

4800 Friendship Ave
Suite Gr508
Pittsburgh, PA 15224-1722
Phone (412) 578-1923

Hospital & facility affiliations

  • Ahn Wexford Hospital Hospital, Wexford, PA, CCN 390334

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Maria Parham Physician Practices, LLC Current Accepting new patients
Upmc/St Clair Hospital Cancer Center Radiation Oncology CurrentSince Jul 1, 2013 Accepting new patients
Allegheny Clinic Radiation Oncology CurrentSince May 1, 2022 Accepting new patients
Allegheny Clinic Current Accepting new patients
DLP Maria Parham Physician Practices LLC CurrentSince Jul 12, 2021 Accepting new patients
DLP Maria Parham Physician Practices, LLC CurrentSince Jul 12, 2021 Accepting new patients
Allegheny Clinic CurrentSince May 1, 2022 Accepting new patients
DLP Maria Parham Physician Practices, LLC Past Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

566 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 436-1352

120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773

160 Hollywood Dr
Butler, PA 16001
Phone (724) 282-6175

2508 Myrtle St
Ste 100
Erie, PA 16502
Phone (814) 452-5400

6321 State Route 30
Ste B
Greensburg, PA 15601
Phone (724) 671-1740

565 Coal Valley Rd
Jefferson Hls, PA 15025
Phone (412) 469-5308

160 Gallery Dr
Ste 800
Mc Murray, PA 15317
Phone (724) 260-7250

81 Wagner Rd
Monaca, PA 15061
Phone (724) 671-1500

2600 Haymaker Rd
Monroeville, PA 15146
Phone (412) 856-7740

2626 Haymaker Rd
Monroeville, PA 15146
Phone (412) 373-4411

1604 Burtner Rd
Natrona Heights, PA 15065
Phone (724) 230-3011

1301 Carlisle St
Natrona Hts, PA 15065
Phone (724) 224-5100

200 Lothrop St
Fl 3
Pittsburgh, PA 15213
Phone (412) 647-3600

314 E North Ave
#1
Pittsburgh, PA 15212
Phone (412) 325-5700

815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

1020 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 502-3920

4800 Friendship Ave
Ste GR508
Pittsburgh, PA 15224
Phone (412) 578-1923

12311 Perry Hwy
Wexford, PA 15090
Phone (878) 332-4143

Networks

  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • OH PPO
  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037

Interoperability endpoints

  • Direct secure messaging: cchamp470996@direct.ahn.org

Organizations & group practices 10

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": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1003138868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 FRIENDSHIP AVE STE GR508",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241722",
            "telephone_number": "412-578-1923",
            "fax_number": "412-578-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 FRIENDSHIP AVE STE GR508",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241722",
            "telephone_number": "412-578-1923",
            "fax_number": "412-578-1936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12311 Perry Hwy",
            "address_purpose": "LOCATION",
            "city": "Wexford",
            "state": "PA",
            "postal_code": "150908344",
            "country_code": "US",
            "telephone_number": "878-332-4049",
            "fax_number": "878-332-4475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMP",
        "first_name": "COLIN",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-22",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD448624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.