Active NPI
Cornelius Nestore Van Dam, M.D.
- Infectious Disease Physician
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 2005-01197
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- 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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2005-01197 | NC | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moses Cone Physician Services, Inc. | Current | Accepting new patients | |
| Alamance Regional Medical Center, Inc. | Current | Accepting new patients | |
| Moses Cone Physician Services Inc | Current | Accepting new patients | |
| The Moses H Cone Memorial Hospital Operating Corporation | Infectious Disease | Current | Accepting new patients |
| Alamance Regional Medical Center, Inc | Current | Accepting new patients | |
| The Moses H Cone Memorial Hospital Operating Corporation | Current | 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
- 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.
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1356372064
Infectious Disease
-
- General Acute Care Hospital
- Burlington, NC
- NPI 1326010273
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1093953127
-
dba ARMC Health Care Employee Pharmacy
- Pharmacy
- Burlington, NC
- NPI 1851681993
-
dba Triad Hospitalists
- Hospitalist Physician
- Greensboro, NC
- NPI 1326363383
-
dba Cone Health Community Pharmacy at Eden
- Community/Retail Pharmacy
- Eden, NC
- NPI 1861222507
-
dba Center for Maternal Fetal Care
- Maternal & Fetal Medicine Physician
- Greensboro, NC
- NPI 1891351847
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
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": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.