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MALLORY DES CHAMPS
NPI 1740848985
Physician Assistant - Medical in Brooklyn, NY

Active since June 03, 2019PECOS Enrolled
96.46/100
CMS Quality Rating
7901 4TH AVE STE A20, BROOKLYN, NY 11209(718) 491-5800(718) 748-2151 Get Directions Write a Review

NPPES record last updated: December 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 23, 2019, Jun 3, 2019 (2 updates tracked since 2019).

About Mallory Des Champs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY DES CHAMPS (NPI 1740848985) is an individual medical provider in Brooklyn, New York and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740848985
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMALLORY DES CHAMPS
Location Address7901 4TH AVE STE A20Brooklyn, NY 11209-3957
Mailing Address1150 Douglas PikeSmithfield, RI 02917-1291
Phone(718) 491-5800
Fax(718) 748-2151
Sole ProprietorNo
Enumeration DateJune 3, 2019
Last NPPES UpdateDecember 23, 20192 updates tracked since enumeration
✔ NPI 1740848985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
7901 4TH AVE STE A20, Brooklyn, NY 11209
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mallory Des Champs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.92
Improvement Activities40

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAITTA DERMATOLOGY PC
Dermatology
7901 4TH AVE STE A20
BROOKLYN, NY 11209
Kings County (718) 491-5800
ALLISON OLIVIA JAEKLE
Physician Assistant
7901 4TH AVE STE A20
BROOKLYN, NY 11209
Kings County (718) 491-5800
DR. CHRISTOPHER JOSEPH MANCUSO DO, MHS
Dermatology
7901 4TH AVE STE A20
BROOKLYN, NY 11209
Kings County (561) 716-2633
AURASH BINA
Dermatology
7901 4TH AVE STE A20
BROOKLYN, NY 11209
Kings County (718) 491-5800
ARTHUR JOHN HAUGHEY P.A.
Physician Assistant
7901 4TH AVE STE A20
BROOKLYN, NY 11209
Kings County (718) 491-5800
DR. VIGNESH RAMACHANDRAN MD
Dermatology
7901 4TH AVE STE A20
BROOKLYN, NY 11209
Kings County (512) 431-2236
MR. SEAN ALLEN CANTORNA THOMPSON FNP
Nurse Practitioner (Family)
7901 4TH AVE STE A20
BROOKLYN, NY 11209
Kings County (718) 491-5800
MR. VITALY KRAMER PA-C
Physician Assistant
7901 4TH AVE STE A20
BROOKLYN, NY 11209
Kings County (718) 491-5800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Des Champs's NPI number?

The NPI number for Mallory Des Champs is 1740848985. It was assigned to this individual provider in the NPPES registry on June 3, 2019.

Where is Mallory Des Champs located?

Mallory Des Champs practices at 7901 4th Ave Ste A20, Brooklyn, NY 11209. The listed phone number is (718) 491-5800.

What is Mallory Des Champs's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mallory Des Champs enrolled in Medicare?

Yes. Mallory Des Champs is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mallory Des Champs was last updated on December 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.