Individual provider Active NPI

Ernest William Kornmehl, MD

  • Ophthalmology Physician
  • Brookline, MA
National Provider Identifier
1104816842
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
58784 Issued in MA
Practice address
44 Washington St
Brookline, MA 02445-7130
Phone
(617) 232-9600
Fax
(617) 232-7002
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 58784 MA Primary

Addresses

Primary practice location

44 Washington St
Brookline, MA 02445-7130

Mailing address

PO Box 9142
Mass General Physician Organization
Charlestown, MA 02129-9142
Phone (617) 724-0287

Other identifiers 3

IdentifierTypeStateIssuer
058784OtherMATUFTS HEALTH PLAN
3068820MedicaidMA
J09372OtherMABCBS MA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20060330000630 MA Practitioner - Ophthalmology 4183632243 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York Downstate Medical Center, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boston Eye Physicians and Surgeons, P.C.Group PAC ID 0244393973, 6 clinicians

Practice addresses (Care Compare)

44 Washington St
Suite 103a
Brookline, MA 02445-7167
Phone (617) 232-9600

54 Washington St
Wellesley, MA 02481-3208
Phone (781) 237-3366

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Eye Physicians & Surgeons, P.C. Ophthalmology CurrentSince Apr 20, 1990 Accepting new patients
Kornmehl Laser Eye Associates PC Ophthalmology CurrentSince Mar 24, 2025 Accepting new patients

Locations

44 Washington St
Ste 103A
Brookline, MA 02445
Phone (617) 232-9600

44 Washington St
Brookline, MA 02445
Phone (617) 232-9600

54 Washington St
Wellesley Hills, MA 02481
Phone (781) 237-0400

Interoperability endpoints

  • Direct secure messaging: ekornmehl46087@tuftsmedicine.direct-ci.com
  • Direct secure messaging: ernest.kornmehl.1@16489.direct.athenahealth.com

Organizations & group practices 2

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1104816842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9142",
            "address_2": "MASS GENERAL PHYSICIAN ORGANIZATION",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021299142",
            "telephone_number": "617-724-0287",
            "fax_number": "617-726-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 WASHINGTON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457130",
            "telephone_number": "617-232-9600",
            "fax_number": "617-232-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNMEHL",
        "first_name": "ERNEST",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "58784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "058784",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3068820",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J09372",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.