Gerard Champaloux, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0020905 Issued in MD

Practice address

14300 Gallant Fox Lane
Suite 110
Bowie, MD 20715-4031

Phone

(301) 262-6797

Fax

(301) 262-2564

NPI assigned

Sep 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Family PracticeAlso: Internal Medicine

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• The Surgery Clinics LLC

  • Anesthesiology Physician
  • Germantown, MD
  • NPI 1285703082

  DC, Family Medicine

  Medicare reassignment NPD
• Gerard P Champaloux MD

  • Family Medicine Physician
  • Bowie, MD
  • NPI 1417067216
  NPD (past) Authorized official
• The Surgery Clinics LLC

  • Multi-Specialty Clinic/Center
  • Bowie, MD
  • NPI 1104460773

  Family Medicine

  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1205938305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 GALLANT FOX LANE",
            "address_2": "SUITE 110",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154031",
            "telephone_number": "301-262-6797",
            "fax_number": "301-262-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 GALLANT FOX LANE",
            "address_2": "SUITE 110",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154031",
            "telephone_number": "301-262-6797",
            "fax_number": "301-262-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPALOUX",
        "first_name": "GERARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0020905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "784741600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan Chab
• Ahmed Cham, RN, BSN,
• Champ House Recovery Inc.
• Delvin Champagne
• Champaloux and Associates
• Hsiang Lan Chan, D.D.S.
• Dieudonne Chang Chang
• Amina T Change
• Jocelyn Winona Chapman
• Makayla Chapman

• Family Medicine Physician in Bowie, MD
• Providers in Bowie, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.

Verify at the official NPI Registry.