Individual provider Active NPI

Joel Cornfield, MD

  • Urology Physician
  • Hinsdale, IL
National Provider Identifier
1376543249
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
036-069621 Issued in IL
Practice address
950 N York Rd
Hinsdale, IL 60521-2950
Phone
(630) 887-0580
Fax
(630) 887-0618
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036069621 IL
Urology Physician 208800000X 036-069621 IL Primary

Addresses

Primary practice location

950 N York Rd
Hinsdale, IL 60521-2950

Mailing address

950 N York Rd
Hinsdale, IL 60521-8609
Phone (630) 887-0580

Other identifiers 2

IdentifierTypeStateIssuer
P00247026OtherILRAILROAD MEDICARE
036069621MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joelcornfield@uropart.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20050919000171 IL Practitioner - Urology 2769415199

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-069621ILMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Shockwave Services, LTD. Urology CurrentSince Feb 22, 2010 Accepting new patients
United Shockwave Services, LTD. CurrentSince Feb 22, 2010 Accepting new patients

Locations

801 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-2900

6701 159th St
Tinley Park, IL 60477
Phone (708) 429-0222

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.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1376543249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N YORK RD",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605218609",
            "telephone_number": "630-887-0580",
            "fax_number": "630-887-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N YORK RD",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212950",
            "telephone_number": "630-887-0580",
            "fax_number": "630-887-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNFIELD",
        "first_name": "JOEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036069621",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036-069621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00247026",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036069621",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joelcornfield@uropart.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "950 N York Rd",
            "city": "Hinsdale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605212950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.