Edward Eugene Cornwell III, M.D.

Primary specialty

Surgical Critical Care PhysicianTaxonomy code 2086S0102X

License

MD17936 Issued in DC

Practice address

2041 Georgia Ave NW Ste 4000
Washington, DC 20060-0005

Phone

(202) 865-3785

NPI assigned

Jun 6, 2006

Last updated

Aug 2, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

General Surgery

Education

Howard University College of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Howard UniversityGroup PAC ID 0941109565, 182 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Howard University Hospital Corp Hospital, Washington, DC, CCN 090003

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Howard University

  dba Faculty Practice Plan Howard University

  • Multi-Specialty Clinic/Center
  • Washington, DC
  • NPI 1033163597

  Surgery

  Medicare reassignment Care Compare group NPD
• Howard University

  dba Howard University Faculty Practice Plan

  • Multi-Specialty Clinic/Center
  • Washington, DC
  • NPI 1215582978
  NPD
• Howard University Hospital Corp

  • General Acute Care Hospital
  • Washington, DC
  • NPI 1487740957
  NPD (past)
• Medical Faculty Associates, Inc

  • Anesthesiology Physician
  • Washington, DC
  • NPI 1417990581

  Surgery

  NPD (past)

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

• Howard University Hospital Corp

  • General Acute Care Hospital
  • Washington, DC
  • NPI 1487740957
  Care Compare affiliation

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1285673079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA AVE NW STE 6101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200600001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA AVE NW STE 4000",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200600005",
            "telephone_number": "202-865-3785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 N Wolfe St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870005",
            "country_code": "US",
            "telephone_number": "410-955-2244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNWELL",
        "first_name": "EDWARD",
        "middle_name": "EUGENE",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D36081",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "DC",
            "license": "MD17936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039793200",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "347821100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridget Cornett
• Kim Yevette Cornish
• Tosha Adrian Cornish, RN
• Cerise Arielle Cornman
• Jennifer Corns
• Keaira Cornwell
• Maria Coronado
• Maimouna Elle Corpening-Traore, MD
• Corporal Care Inc
• Kyra Corradin

• Surgical Critical Care Physician in Washington, DC
• Providers in Washington, DC by specialty
• Surgical Critical Care Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; 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.

Verify at the official NPI Registry.