Individual provider Active NPI

Keith Laurence Apostol Cornel, D.O.

  • Cardiovascular Disease Physician
  • Henderson, NV
National Provider Identifier
1255866323
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
DO3573 Issued in NV
Practice address
2855 Saint Rose Pkwy Ste 110
Henderson, NV 89052-4812
Phone
(702) 805-5678
Fax
(702) 268-7605
NPI assigned
Apr 26, 2017
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X DO3573 NV Primary

Addresses

Primary practice location

2855 Saint Rose Pkwy Ste 110
Henderson, NV 89052-4812

Mailing address

9950 W Cheyenne Ave Ste 110
Las Vegas, NV 89129-7700
Phone (702) 805-5678

Other practice location 1

6040 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-5613
Phone (705) 805-5678

Other practice location 2

10105 Banburry Cross Dr Ste 130
Las Vegas, NV 89144-6642
Phone (702) 805-5678

Other practice location 3

9950 W Cheyenne Ave Ste 150
Las Vegas, NV 89129-7700
Phone (702) 805-5678

Other practice location 4

825 N Gibson Rd Ste 321
Henderson, NV 89011-1708
Phone (702) 805-5678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20231219002783 NV Practitioner - Cardiovascular Disease (Cardiology) 5698045805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Cardiology GroupGroup PAC ID 5890123046, 15 clinicians

Practice addresses (Care Compare)

10105 Banburry Cross Dr
Suite 130
Las Vegas, NV 89144-6642
Phone (702) 805-5678

1050 W Galleria Dr
Henderson, NV 89011-4800
Phone (702) 805-5678

2855 Saint Rose Pkwy
Suite 110
Henderson, NV 89052-4812
Phone (702) 805-5678

2911 N Tenaya Way
Suite 104
Las Vegas, NV 89128-0488
Phone (702) 805-5678

3001 Saint Rose Pkwy
Henderson, NV 89052-3839
Phone (702) 805-5678

3100 N Tenaya Way
Las Vegas, NV 89128-0436
Phone (702) 805-5678

6040 S Fort Apache Rd
Suite 100
Las Vegas, NV 89148-5613
Phone (702) 805-5678

825 N Gibson Rd
Suite 321
Henderson, NV 89011-1708
Phone (702) 805-5678

8280 W Warm Springs Rd
Las Vegas, NV 89113-3612
Phone (702) 805-5678

9300 W Sunset Rd
Las Vegas, NV 89148-4844
Phone (702) 805-5678

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.39 of 100Reported as group
Quality
55.26
Improvement activities
40
Cost
73.39

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Cardiology Group PLLC Single Specialty CurrentSince Dec 1, 2023 Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients

Locations

2855 Saint Rose Pkwy
Ste 110
Henderson, NV 89052
Phone (702) 805-5678

825 N Gibson Rd
Ste 321
Henderson, NV 89011
Phone (702) 805-5678

10105 Banburry Cross Dr
Ste 130
Las Vegas, NV 89144
Phone (615) 879-0587

2911 N Tenaya Way
Ste 104
Las Vegas, NV 89128
Phone (702) 474-2460

6040 S Fort Apache Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 475-4007

8280 W Warm Springs Rd
Las Vegas, NV 89113
Phone (702) 458-5099

9950 W Cheyenne Ave
Las Vegas, NV 89129
Phone (702) 805-5678

9950 W Cheyenne Ave
Ste 110
Las Vegas, NV 89129

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1255866323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9950 W CHEYENNE AVE STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297700",
            "telephone_number": "702-805-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 SAINT ROSE PKWY STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524812",
            "telephone_number": "702-805-5678",
            "fax_number": "702-268-7605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6040 S Fort Apache Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891485613",
            "country_code": "US",
            "telephone_number": "705-805-5678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10105 Banburry Cross Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891446642",
            "country_code": "US",
            "telephone_number": "702-805-5678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9950 W Cheyenne Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891297700",
            "country_code": "US",
            "telephone_number": "702-805-5678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 N Gibson Rd Ste 321",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890111708",
            "country_code": "US",
            "telephone_number": "702-805-5678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNEL",
        "first_name": "KEITH LAURENCE",
        "middle_name": "APOSTOL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-26",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NV",
            "license": "DO3573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.