Individual provider Active NPI

Mark S Cornett, M.D.

  • Radiation Oncology Physician
  • Louisville, KY
National Provider Identifier
1003873423
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
28989 Issued in KY
Practice address
4123 Dutchmans LN Ste G2
Louisville, KY 40207-4758
Phone
(502) 899-6601
Fax
(502) 899-6644
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 28989 KY Primary

Addresses

Primary practice location

4123 Dutchmans LN Ste G2
Louisville, KY 40207-4758

Mailing address

PO Box 776347
Chicago, IL 60677-6347
Phone (502) 588-9490

Other practice location 1

315 E Broadway
Louisville, KY 40202-1703
Phone (502) 629-2500

Other identifiers 8

IdentifierTypeStateIssuer
1757375OtherKYCIGNA PROVIDER NUMBER
1118125OtherKYPASSPORTPROVIDER NUMB
64289895MedicaidKY
000020583JOtherKYHUMANA PROVIDER NUMB
5941087OtherKYAETNA PROVIDER NUMB
200035990MedicaidIN
920005753OtherKYRAILROAD MEDICARE
000000178939OtherKYANTHEM PROVIDER NUMB

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mcornett19996@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20120810000719 KY Practitioner - Radiation Oncology 6103072848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Virginia School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norton Hospitals, IncGroup PAC ID 9830001528, 137 clinicians

Practice addresses (Care Compare)

1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone (502) 636-8334

200 E Chestnut St
FL 6
Louisville, KY 40202-1831
Phone (502) 629-2806

234 E Gray St
Suite 154
Louisville, KY 40202-1903
Phone (502) 629-2500

315 E Broadway
Louisville, KY 40202-3700

4001 Dutchmans LN
Louisville, KY 40207-4714
Phone (502) 629-2806

4123 Dutchmans LN
Suite G2
Louisville, KY 40207-4758
Phone (502) 899-6601

4955 Norton Healthcare Blvd
Louisville, KY 40241-2832
Phone (502) 394-6350

676 S Floyd St
Louisville, KY 40202-1840
Phone (502) 629-4555

Hospital & facility affiliations

  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

Merit-based Incentive Payment System (MIPS)

Final score
83.73 of 100Reported as group
Quality
73.7
Promoting interoperability
100
Improvement activities
40
Cost
60.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28989KYMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Hospitals, Inc CurrentSince Jun 3, 2012 Accepting new patients
Norton Hospitals Inc CurrentSince Jun 3, 2012 Accepting new patients
Radiation Oncology of Lexington, PSC Radiation Oncology Past Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

676 S Floyd St
Ste 100
Louisville, KY 40202

4955 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 394-6350

3991 Dutchmans Ln
Ste 300
Louisville, KY 40207
Phone (502) 559-1970

3991 Dutchmans Ln
Ste 405
Louisville, KY 40207
Phone (502) 899-3366

2401 Terra Crossing Blvd
Ste 100
Louisville, KY 40245
Phone (502) 244-0692

315 E Broadway
Louisville, KY 40202
Phone (502) 272-5331

1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767

676 S Floyd St
Ste 200
Louisville, KY 40202
Phone (502) 629-2500

411 E Chestnut St
#2
Louisville, KY 40202
Phone (502) 588-0902

4123 Dutchmans Ln
Ste G2
Louisville, KY 40207
Phone (502) 899-6601

850 S 28th St
Ste 104
Louisville, KY 40211
Phone (502) 394-5678

2401 Terra Crossing Blvd
Ste 101
Louisville, KY 40245
Phone (502) 210-4600

8033 Dixie Hwy
Louisville, KY 40258
Phone (502) 937-3154

315 E Broadway
Fl 4
Louisville, KY 40202
Phone (502) 272-5165

676 S Floyd St
Fl 1
Louisville, KY 40202
Phone (502) 629-4555

Interoperability endpoints

  • Direct secure messaging: mcornett19996@direct.nortonhealthcare.org

Organizations & group practices 4

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1003873423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776347",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776347",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 DUTCHMANS LN STE G2",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074758",
            "telephone_number": "502-899-6601",
            "fax_number": "502-899-6644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 E Broadway",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021703",
            "country_code": "US",
            "telephone_number": "502-629-2500",
            "fax_number": "502-629-3165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNETT",
        "first_name": "MARK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "KY",
            "license": "28989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "1757375",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORTPROVIDER NUMB",
            "identifier": "1118125",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64289895",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PROVIDER NUMB",
            "identifier": "000020583J",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMB",
            "identifier": "5941087",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200035990",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "920005753",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMB",
            "identifier": "000000178939",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcornett19996@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "315 E Broadway",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "315 E Broadway",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.