Active NPI
Kristine M Cornejo, MD
- Anatomic Pathology Physician
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 254136
- Practice address
- 55 Lake Ave N
Department of Anatomic Pathology
Worcester, MA 01655-0002 - Phone
- (508) 793-6100
- Fax
- (508) 793-6110
- NPI assigned
- Jul 29, 2008
- Last updated
- May 28, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology (Pathology) Physician | 207ZD0900X | 01095798A | IN | |
| Anatomic Pathology Physician | 207ZP0101X | 254136 | MA | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 01095798A | IN |
Addresses
Primary practice location
55 Lake Ave N
Department of Anatomic Pathology
Worcester, MA 01655-0002
Mailing address
PO Box 415348
Boston, MA 02241-5348
Other practice location 1
350 W 11th St
Indianapolis, IN 46202-4108
Phone (776) 685-6218
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110095784A | Medicaid | MA |
Other names 1
- Kristine Malia Saiki
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kcornejo@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01095798A | IN | MD | Dermatopathology (Pathology) Physician |
| 254136 | MA | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The General Hospital Corporation | Current | Accepting new patients | |
| University Family Physicians, Inc. | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| University Family Physicians, Inc. | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
7216 Solutions Ctr
Chicago, IL 60677
1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
350 W 11th St
Indianapolis, IN 46202
Phone (317) 274-2476
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
Interoperability endpoints
- kcornejo@direct.iuhealth.org
Organizations & group practices 5
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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Anatomic Pathology & Clinical Pathology
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1043275787
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1669828042
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba IU Health North Hospital
- General Acute Care Hospital
- Carmel, IN
- NPI 1568492916
-
dba IU Health Arnett Hospital
- General Acute Care Hospital
- Lafayette, IN
- NPI 1326296211
-
- General Acute Care Hospital
- Muncie, IN
- NPI 1225195340
-
dba Indiana University Health
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
-
dba Eskenazi Health
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1568407310
-
dba Eskenazi Health Midtown Narcotics Treatment Program
- Methadone Clinic
- Indianapolis, IN
- NPI 1760922249
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1427214592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415348",
"city": "BOSTON",
"state": "MA",
"postal_code": "022415348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 LAKE AVE N",
"address_2": "DEPARTMENT OF ANATOMIC PATHOLOGY",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016550002",
"telephone_number": "508-793-6100",
"fax_number": "508-793-6110"
}
],
"practiceLocations": [
{
"address_1": "350 W 11th St",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462024108",
"country_code": "US",
"telephone_number": "776-685-6218",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORNEJO",
"first_name": "KRISTINE",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-29",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "IN",
"license": "01095798A",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "MA",
"license": "254136",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IN",
"license": "01095798A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110095784A",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kcornejo@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "350 W 11th St",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462024108",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KRISTINE",
"last_name": "SAIKI",
"middle_name": "MALIA",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.