Individual provider Active NPI

Cornelius Nestore Van Dam, M.D.

  • Infectious Disease Physician
  • Greensboro, NC
National Provider Identifier
1174735070
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
2005-01197 Issued in NC
Practice address
301 E Wendover Ave
Suite 111
Greensboro, NC 27401-1230
Phone
(336) 832-7840
Fax
(336) 832-3285
NPI assigned
May 4, 2007
Last updated
Sep 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 2005-01197 NC Primary

Addresses

Primary practice location

301 E Wendover Ave
Suite 111
Greensboro, NC 27401-1230

Mailing address

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cvandam3057@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20080422000382 NC Practitioner - Infectious DiseasePractitioner - Internal Medicine 5991883613 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Medical College of Wisconsin, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

301 E Wendover Ave
Suite 111
Greensboro, NC 27401-1209
Phone (336) 832-7840

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
78.19
Promoting interoperability
100
Improvement activities
40
Cost
81.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2005-01197NCMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services, Inc. Current Accepting new patients
Alamance Regional Medical Center, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Moses Cone Physician Services Inc CurrentSince May 1, 2010 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Infectious Disease CurrentSince Jul 1, 2008 Accepting new patients
Alamance Regional Medical Center, Inc CurrentSince Aug 1, 2025 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jul 1, 2008 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Past Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

301 E Wendover Ave
Ste 111
Greensboro, NC 27401
Phone (336) 273-1000

Interoperability endpoints

  • Direct secure messaging: cvandam3057@direct.conehealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1174735070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011004",
            "telephone_number": "336-832-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E WENDOVER AVE",
            "address_2": "SUITE 111",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011230",
            "telephone_number": "336-832-7840",
            "fax_number": "336-832-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DAM",
        "first_name": "CORNELIUS",
        "middle_name": "NESTORE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NC",
            "license": "2005-01197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cvandam3057@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "301 E Wendover Ave",
            "address_2": "Suite 111",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274011230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.