John L Corso, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD19275 Issued in OR

Practice address

18 NW Oregon Ave
Bend, OR 97701-2729

Phone

(541) 389-7741

Fax

(541) 338-3832

NPI assigned

Jan 23, 2006

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 6, 2023 through Oct 6, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Praxis Health, PC

  • Rural Health Clinic/Center
  • Hermiston, OR
  • NPI 1114261930
  NPD (past)
• Praxis Health, PC

  • Rural Health Clinic/Center
  • Dallas, OR
  • NPI 1942925326
  NPD (past)

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1487624409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 NW OREGON AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977012735",
            "telephone_number": "541-389-7741",
            "fax_number": "541-338-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 NW OREGON AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977012729",
            "telephone_number": "541-389-7741",
            "fax_number": "541-338-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORSO",
        "first_name": "JOHN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD19275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070243",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cornerstone Family Dentistry
• Carli D. Corpus
• Kailee C Corpus, LMT
• Lisa Diane Corrigan, PT
• William J Corrigan, PA-C
• Ruben Cortez, CRM
• Barbara Corum
• Daniel Thomas Cosgro, PA-C
• Gary Costa
• Stacey Lynne Costa, RDH

• Internal Medicine Physician in Bend, OR
• Providers in Bend, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.