Individual provider Active NPI

Walter Louis Champion III, M.D.

  • Diagnostic Radiology Physician
  • Nashua, NH
National Provider Identifier
1811257975
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
18652 Issued in NH
Practice address
8 Prospect St
Nashua, NH 03060
Phone
(603) 577-3377
Fax
(603) 577-3387
NPI assigned
May 23, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 18652 NH Primary

Addresses

Primary practice location

8 Prospect St
Nashua, NH 03060

Mailing address

PO Box 3677
Nashua, NH 03061-3677
Phone (036) 577-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20180627001754 MA Practitioner - Diagnostic Radiology 2264701341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Morehouse School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atrius Health IncGroup PAC ID 4789588641, 1,214 clinicians

Practice addresses (Care Compare)

1 Lyons St
Dedham, MA 02026-5599
Phone (781) 329-1400

1250 Hancock St
Quincy, MA 02169-4339
Phone (617) 740-0600

133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-1000

142 Berkeley St
Boston, MA 02116-5100
Phone (617) 859-5000

20 Wall St
Burlington, MA 01803-4758
Phone (781) 221-2500

21 Bristol Dr
South Easton, MA 02375-1199
Phone (774) 302-5700

228 Billerica Rd
Chelmsford, MA 01824-3604
Phone (978) 250-6000

291 Independence Dr
Chestnut Hill, MA 02467-3628
Phone (617) 325-2800

36 Shops at 5 Way
Plymouth, MA 02360-2677
Phone (774) 608-3700

40 Holland St
Somerville, MA 02144-2705
Phone (617) 629-6000

420 Libbey Industrial Pkwy
Weymouth, MA 02189-3134
Phone (781) 331-9880

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18652NHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. Diagnostic Radiology CurrentSince Oct 14, 2024 Accepting new patients
Atrius Health, Inc. CurrentSince Oct 14, 2024 Accepting new patients
Atrius Health, Inc. Diagnostic Radiology Current Accepting new patients

Locations

147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

Interoperability endpoints

  • Direct secure messaging: wchampionmd388220@direct.atrius.masshiway.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1811257975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3677",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030613677",
            "telephone_number": "036-577-7900",
            "fax_number": "603-577-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 PROSPECT ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "03060",
            "telephone_number": "603-577-3377",
            "fax_number": "603-577-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPION",
        "first_name": "WALTER",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-23",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "18652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.