Individual provider Active NPI

Katherine Elizabeth Cornforth, M.D.

  • Obstetrics & Gynecology Physician
  • San Antonio, TX
National Provider Identifier
1366760548
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
N6233 Issued in TX
Practice address
1007 NE Loop 410 Ste 110
San Antonio, TX 78209-1228
Phone
(210) 538-8660
Fax
(210) 538-8661
NPI assigned
May 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X N6233 TX Primary

Addresses

Primary practice location

1007 NE Loop 410 Ste 110
San Antonio, TX 78209-1228

Mailing address

1007 NE Loop 410 Ste 110
San Antonio, TX 78209-1228
Phone (210) 538-8660

Other identifiers 1

IdentifierTypeStateIssuer
217669502MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kcornforth@cornforthgyn.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20101102000250 TX Practitioner - Obstetrics/Gynecology 3577757772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical School at Houston, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

430 W Sunset Rd
Suite 301
San Antonio, TX 78209-1772
Phone (210) 538-8660

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Katherine Cornforth MD - OBGYN PLLC Obstetrics & Gynecology CurrentSince Oct 1, 2021 Accepting new patients
Michael D Garcia, MD,P.a. Obstetrics & Gynecology Past Accepting new patients

Locations

1007 NE Loop 410
Ste 110
San Antonio, TX 78209
Phone (210) 538-8660

430 W Sunset Rd
Ste 301
San Antonio, TX 78209
Phone (210) 538-8660

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1366760548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 NE LOOP 410 STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091228",
            "telephone_number": "210-538-8660",
            "fax_number": "210-385-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 NE LOOP 410 STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091228",
            "telephone_number": "210-538-8660",
            "fax_number": "210-538-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNFORTH",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-12",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "N6233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217669502",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kcornforth@cornforthgyn.com",
            "affiliation": "N",
            "address_1": "1007 NE Loop 410 Ste 110",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782091228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.