Individual provider Active NPI

James R Cornwell, M.D.

  • Diagnostic Radiology Physician
  • Blue Ash, OH
National Provider Identifier
1023061546
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35058397 Issued in OH
Practice address
9825 Kenwood Rd
Suite 105
Blue Ash, OH 45242-6251
Phone
(513) 872-4500
Fax
(513) 872-4518
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35058397 OH Primary

Addresses

Primary practice location

9825 Kenwood Rd
Suite 105
Blue Ash, OH 45242-6251

Mailing address

9825 Kenwood Rd
Suite 105
Blue Ash, OH 45242-6251
Phone (513) 872-4500

Other identifiers 3

IdentifierTypeStateIssuer
100355040MedicaidIN
0760574MedicaidOH
64862618MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
69.07 of 100Reported as group
Quality
57.65
Improvement activities
40
Cost
74.53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35058397OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cincinnati Medical Imaging Diagnostic Radiology Past Accepting new patients
Professional Readers Group, Inc Past Accepting new patients
Riverhills Healthcare, Inc. Past Accepting new patients
Riverhills Healthcare Inc Diagnostic Radiology PastSince Jan 1, 2016 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.822

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1023061546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 KENWOOD RD",
            "address_2": "SUITE 105",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426251",
            "telephone_number": "513-872-4500",
            "fax_number": "513-872-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 KENWOOD RD",
            "address_2": "SUITE 105",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426251",
            "telephone_number": "513-872-4500",
            "fax_number": "513-872-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNWELL",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35058397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100355040",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0760574",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64862618",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

Verify at the official NPI Registry.