Edward Champoux, MD
Individual provider Active NPI Allergy & Immunology (Internal Medicine) Physician · Horseheads, NY
NPI 1851387724 · NPPES record last updated Jan 10, 2025
Key facts
- NPI
- 1851387724
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Allergy & Immunology (Internal Medicine) Physician 207RA0201X
- License
- 318518 (NY)
- Practice address
- 2977 Westinghouse Rd
Horseheads, NY 14845-8120 - Phone
- (607) 684-6115
- Fax
- (607) 684-6120
- NPI assigned
- Sep 26, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Allergy/Immunology
- Education
- Albany Medical College of Union University, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Smith Allergy and Asthma of Central New York PLLC
Practice addresses (Care Compare)
2977 Westinghouse Rd
Horseheads, NY 14845-8120
Phone (607) 684-6115
Hospital & facility affiliations
- Cayuga Medical Center at Ithaca
- United Health Services Hospitals, Inc
- Our Lady of Lourdes Memorial Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 82.87
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|---|
| I20221005000206 | NY | Practitioner - Allergy/Immunology |
8527499060 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01059883A | IN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smith Allergy and Asthma of Central New York PLLC | Current |
Accepting new patients |
Locations
3767 Luker Rd
Cortland, NY 13045
Phone (607) 662-4059
2977 Westinghouse Rd
Horseheads, NY 14845
Phone (607) 378-6662
2430 N Triphammer Rd
Ste B
Ithaca, NY 14850
Phone (607) 379-6072
401 Main St
Ste 2
Johnson City, NY 13790
Phone (607) 798-7811
Interoperability endpoints
- echampoux@smithallergy.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | 01059883A | IN | |
| Pediatrics Physician | 208000000X | 01059883A | IN | |
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | 318518 | NY | Yes |
Addresses
Primary practice location
2977 Westinghouse Rd
Horseheads, NY 14845-8120
Mailing address
2977 Westinghouse Rd
Horseheads, NY 14845-8120
Phone (607) 684-6115
Other providers in Horseheads, NY
- Michelle Cardamone
- Rebecca Carr
- Brian D. Cassetta
- Jennifer Cavanagh-Wheeler
- Cerebral Palsy & Handicapped Childrens Association of Chemung Co., Inc
- Chemung Chiropractic, PLLC
- Chemung Dental Health P.C.
- Wendy C Christmas
- Richard Paul Chrzanowski
- Melissa Clark
All providers in Horseheads, NY · Allergy & Immunology (Internal Medicine) Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2025. 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.