Individual provider Active NPI

James Cornell, MD

  • Gastroenterology Physician
  • Allentown, PA
National Provider Identifier
1285637488
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD022213E Issued in PA
Practice address
1501 N Cedar Crest Blvd
Suit 110
Allentown, PA 18104-2309
Phone
(610) 821-2828
Fax
(610) 821-2828
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD022213E PA Primary

Addresses

Primary practice location

1501 N Cedar Crest Blvd
Suit 110
Allentown, PA 18104-2309

Mailing address

1501 N Cedar Crest Blvd Ste 110
Allentown, PA 18104-2309
Phone (610) 821-2828

Other identifiers 1

IdentifierTypeStateIssuer
0010246330003MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jamescornell@epgi.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101018000187 PA Practitioner - Gastroenterology 4688649668 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Jul 1, 2020 Accepting new patients
Family Care Centers Inc CurrentSince Jan 1, 2021 Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 11, 2018 Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 11, 2018 Accepting new patients
Family Care Centers Inc. CurrentSince Jan 1, 2021 Accepting new patients
Hazleton Professional Services CurrentSince Jul 1, 2020 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Eastern Pennsylvania Endoscopy Center, Inc. PastSince Apr 5, 2001 Accepting new patients

Locations

1501 N Cedar Crest Blvd
Ste 110
Allentown, PA 18104
Phone (610) 821-2828

401 N 17th St
Ste 105
Allentown, PA 18104
Phone (610) 432-2013

400 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 424-9555

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

50 Moisey Dr
Ste 109
Hazle Township, PA 18202
Phone (570) 501-6460

1000 Alliance Dr
#10
Hazleton, PA 18202
Phone (570) 501-6450

Organizations & group practices 9

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1285637488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N CEDAR CREST BLVD STE 110",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042309",
            "telephone_number": "610-821-2828",
            "fax_number": "610-821-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N CEDAR CREST BLVD",
            "address_2": "SUIT 110",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042309",
            "telephone_number": "610-821-2828",
            "fax_number": "610-821-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELL",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD022213E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010246330003",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jamescornell@epgi.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1501 N Cedar Crest Blvd",
            "address_2": "suit 110",
            "city": "Allentown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "181042309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.