Individual provider Active NPI

Lloyd C Champagne, M.D.

  • Surgery of the Hand (Surgery) Physician
  • Phoenix, AZ
National Provider Identifier
1407856537
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
27791 Issued in AZ
Practice address
370 E Virginia Ave
Suite 100
Phoenix, AZ 85004-1214
Phone
(602) 258-4788
Fax
(602) 258-5131
NPI assigned
Jul 29, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) Physician 2086S0105X 27791 AZ Primary

Addresses

Primary practice location

370 E Virginia Ave
Suite 100
Phoenix, AZ 85004-1214

Mailing address

PO Box 7587
Phoenix, AZ 85011-7587
Phone (602) 258-4788

Other identifiers 2

IdentifierTypeStateIssuer
Z131863OtherAZMEDICARE
482266MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 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
I20040712001321 AZ Practitioner - Hand SurgeryPractitioner - Plastic and Reconstructive Surgery 6507844826 Reassigns benefits to 4 organizations
I20171018000203 TX Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 6507844826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Plastic and Reconstructive Surgery
Education
Louisiana State University School of Medicine in New Orleans, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

370 E Virginia Ave
Suite 100
Phoenix, AZ 85004-1254
Phone (602) 258-4788

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision15
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2779AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth CurrentSince Dec 6, 2009 Accepting new patients
Arizona Center for Hand Surgery PC Surgery of the Hand CurrentSince Sep 1, 2009 Accepting new patients
Honorhealth Plastic Surgery CurrentSince Dec 6, 2009 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Aug 11, 2017 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Apr 1, 2025 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Aug 11, 2017 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Nov 1, 2018 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Nov 1, 2018 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Apr 1, 2025 Accepting new patients
Arizona Center for Hand Surgery PC Surgery of the Hand CurrentSince May 8, 2007 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G Past Accepting new patients
Arizona Center for Hand Surgery PC Surgery of the Hand Past Accepting new patients
Lsu Medical Center Past Accepting new patients

Locations

1520 S Dobson Rd
Ste 210
Mesa, AZ 85202
Phone (480) 898-8593

2111 W University Dr
Mesa, AZ 85201
Phone (480) 206-6240

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

370 E Virginia Ave
Ste 100
Phoenix, AZ 85004
Phone (602) 200-8988

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

3329 E Bell Rd
Ste A5
Phoenix, AZ 85032

370 E Virginia Ave
Phoenix, AZ 85004
Phone (480) 206-6240

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

755 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 271-5111

15830 N 35th Ave
Ste 1
Phoenix, AZ 85053
Phone (602) 298-1188

9220 E Mountain View Rd
Ste 200
Scottsdale, AZ 85258
Phone (480) 451-6756

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

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.

View all 13

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1407856537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7587",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850117587",
            "telephone_number": "602-258-4788",
            "fax_number": "602-258-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E VIRGINIA AVE",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041214",
            "telephone_number": "602-258-4788",
            "fax_number": "602-258-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPAGNE",
        "first_name": "LLOYD",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "AZ",
            "license": "27791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z131863",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "482266",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.