MIRIAM CHAMPER – Obstetrics & Gynecology Physician, NPI 1114458064

MIRIAM CHAMPER is a healthcare provider. based in Bronx, New York. specializing in OBSTETRICS/GYNECOLOGY. They hold a License No. MD204123 (OR). The NPI Number for MIRIAM CHAMPER is 1114458064

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MIRIAM CHAMPER
NPI
1114458064
Phone
(718) 920-4321
Address
111 E 210TH ST
Enumeration Date
22 March 2017
Last Update Date
25 June 2021

Doctor Profile

Medical School Name
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
5413893300
Graduation Year
2017 (9 years ago)
PAC ID
2365780046
Group Practice PAC ID
9638166796
Professional Enrollment ID
I20210707002752
Address ID
OR977016752BE2400XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

3,467 OBSTETRICS/GYNECOLOGY in NY

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Provider Addresses for MIRIAM CHAMPER

  • Montefiore Medical Center West Campus Moses Division Hospital, 111, East 210th Street, The Bronx, Bronx County, New York, 10467, United States

    BRONX, NY 104672401

    Phone: (718) 920-4321

    Type: Mailing

  • 2400 NE NEFF RD STE A

    BEND, OR 977016752

    Phone: (541) 389-3300

    Fax: (541) 389-8115

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $316.

Total Amount is formed as General ($316) + Research ($0) + Ownership ($0) = $316.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: ABBVIE INC. ($172).

Total Amount

$316

General + Research + Ownership

Payments

14

Total payment records

General Amount

$316

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-07-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210707002752IObstetrics/GynecologyORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1811$0
View full utilization report →

Insurance plans in this area (ZIP 10467)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638166796View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YOR
-OR
-OR
O B S T E T R I C S/ G Y N E C O L O G YOR
Physician AssistantOR
O B S T E T R I C S/ G Y N E C O L O G YOR
Certified Nurse Midwife (Cnm)AK
Certified Nurse Midwife (Cnm)OR
O B S T E T R I C S/ G Y N E C O L O G YOR
O B S T E T R I C S/ G Y N E C O L O G YUT

Reviews

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Frequently asked questions

Is MIRIAM CHAMPER listed with a National Provider Identifier?
Yes — MIRIAM CHAMPER has NPI 1114458064 on file in the registry.
Is MIRIAM CHAMPER shown as active in public data?
Registry records indicate MIRIAM CHAMPER maintains an active NPI.
What expertise is attributed to MIRIAM CHAMPER?
MIRIAM CHAMPER's specialty line reads Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is MIRIAM CHAMPER associated with Bronx?
Public fields place MIRIAM CHAMPER around Bronx, New York. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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