MARY T. CHAMPION MD – NPI #1760779722
Ophthalmology

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Health Care Provider Taxonomy Code for Ophthalmology

MARY CHAMPION is an ophthalmologist located in PRAIRIE VILLAGE, KS. NPPES has assigned the NPI number 1760779722 to MARY CHAMPION on June 28, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207WX0107X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Retina Specialist

The NPI profile was last updated on Dec 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARY CHAMPION below.

NPI Profile for
MARY T. CHAMPION

NPI Number
1760779722
Enumeration Date

(about 15 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MARY T. CHAMPION
Credentials
MD
Primary location
7400 STATE LINE RD STE 100
PRAIRIE VILLAGE, KS 66208-3447
Phone: (913) 588-6600 Fax: (913) 588-6655
2 Other location(s):
1750 E Glendale Ave
Phoenix, AZ 85020-5505
Phone: (602) 242-4928 Ext: 159
Fax: (602) 249-4813
3101 Broadway Blvd
Kansas City, MO 64111-2659
Phone: (816) 302-3700
Fax: (816) 302-9939
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Dec 11, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207WX0107X
- Ophthalmology / Retina Specialist (Primary)		 AZ 50228
207W00000X
- Ophthalmology		 AZ 50228

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL) - Graduated 2011
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MARY CHAMPION is affiliated with the following medical group(s):
  • HOSPITAL
    • UNIVERSITY OF KANSAS HOSPITAL
      4000 CAMBRIDGE STREET
      KANSAS CITY, KS 66160

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