Christopher S Champion, DO
Individual provider Active NPI Family Medicine Physician · Des Moines, IA
NPI 1316908437 · NPPES record last updated Mar 11, 2015
Key facts
- NPI
- 1316908437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- DO-03394 (IA)
- Practice address
- 840 East University Ave
Des Moines, IA 50316-2304 - Phone
- (515) 265-4211
- Fax
- (515) 309-5993
- NPI assigned
- Mar 29, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iowa Physicians Clinic Medical Foundation
Practice addresses (Care Compare)
4480 Utica Ridge Rd
Bettendorf, IA 52722-1644
4480 Utica Ridge Rd
Suite 160
Bettendorf, IA 52722-1637
Phone (563) 742-5950
700 E Uinversity Ave
Des Moines, IA 50316-2302
840 E University Ave
FM East Des Moines
Des Moines, IA 50316-2304
Phone (515) 265-4211
Hospital & facility affiliations
- Unitypoint at Home
- Unitypoint Hospice
- Unitypoint Health - Des Moines Iowa Methodist Medi
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100804000256 | IA | Practitioner - Family Practice |
2163555616 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Physicians Clinic Medical Foundation | Family Medicine | Current |
Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Central Iowa Hospital Corporation | Past | Accepting new patients | |
| Central Iowa Hospital Corporation | Past | Accepting new patients |
Locations
410 NW Ash Dr
Ankeny, IA 50023
Phone (515) 964-1101
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
840 E University Ave
Des Moines, IA 50316
Phone (515) 265-4211
640 S 19th St
Nevada, IA 50201
Phone (515) 382-2111
610 10th St
Perry, IA 50220
Phone (515) 465-3547
Interoperability endpoints
- cchampion9867@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO-03394 | IA | Yes |
Addresses
Primary practice location
840 East University Ave
Des Moines, IA 50316-2304
Mailing address
840 East University Ave
Des Moines, IA 50316-2304
Phone (515) 265-4211
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0215285 | Medicaid | IA | |
| 1780767582 | Medicaid | IA |
Other providers in Des Moines, IA
- Gladys Carmen Chaisson
- Alexia Marie Chally
- Danny Darrell Chambers
- Krystal Lynn Chambers
- Quentin Chambers
- Andrew Wanley Chan
- Tamara S Chance
- Vidya T Chande
- Basaviah Chandramouli
- Prem K.G. Chandran
All providers in Des Moines, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.