Kelley M Cornell, M.D., FACS

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

156867 Issued in MA

Practice address

200 Unicorn Park Dr Ste 302
Woburn, MA 01801-3342

Phone

(781) 756-2308

Fax

(781) 756-4798

NPI assigned

Mar 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

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

Vascular SurgeryAlso: General Surgery

Education

University of Kansas School of Med (KC/Wich/Sal), 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Beth Israel Lahey Health Specialty Care, Inc.Group PAC ID 2365405024, 264 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beth Israel Lahey Health at Home Home health agency, Beverly, MA, CCN 227495
• Winchester Hospital Hospital, Winchester, MA, CCN 220105

Merit-based Incentive Payment System (MIPS)

Final score

91.98 of 100Reported as apm

Quality

76.59

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kcornell94581@direct.bilh.masshiway.net

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.

• Beth Israel Lahey Health Specialty Care, Inc.

  • Internal Medicine Physician
  • Gloucester, MA
  • NPI 1235147760
  Medicare reassignment Care Compare group NPD
• Winchester Physician Associates, Inc

  • Internal Medicine Physician
  • Winchester, MA
  • NPI 1184606865
  Medicare reassignment NPD
• Beth Israel Lahey Health Specialty Care, Inc.

  • Urology Physician
  • Burlington, MA
  • NPI 1427161660

  Surgery

  NPD
• Winchester Physician Associates

  • Internal Medicine Physician
  • North Reading, MA
  • NPI 1215919931
  NPD (past)

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

• Northeast Professional Registry of Nurses Inc

  • Home Health Agency
  • Woburn, MA
  • NPI 1346257474
  Care Compare affiliation
• Winchester Hospital

  • General Acute Care Hospital
  • Winchester, MA
  • NPI 1790740777
  Care Compare affiliation

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1427017276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 MAIN ST STE G2A",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901992",
            "telephone_number": "781-729-2020",
            "fax_number": "781-729-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UNICORN PARK DR STE 302",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018013342",
            "telephone_number": "781-756-2308",
            "fax_number": "781-756-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELL",
        "first_name": "KELLEY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D., FACS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "156867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3178773",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UPIN",
            "identifier": "G68888",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah A Cooper, O.T.
• Jennifer M Cooper
• Anya Elizabeth Cootey, BASW
• Shannon Cormier
• Cornell Medical LLC
• Cornerstone Primary and Senior Care LLC
• Brielle Paige Correia
• Brendan Joseph Corsino
• Lisa Corti, DVM
• Johany Elizabeth Cortorreal, CRPA NYCPS FPA

• Surgery Physician in Woburn, MA
• Providers in Woburn, MA by specialty
• Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.