NPIMap

Individual provider Active NPI

David P. Cornutt, M.D.

  • Emergency Medicine Physician
  • Scottsbluff, NE
National Provider Identifier
1508928813
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25899 Issued in NE
Practice address
4021 Avenue B
Scottsbluff, NE 69361-4602
Phone
(308) 630-1064
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25899 NE Primary

Addresses

Primary practice location

4021 Avenue B
Scottsbluff, NE 69361-4602

Mailing address

4021 Avenue B
Scottsbluff, NE 69361-4602
Phone (308) 630-1064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120622000644 NE Practitioner - Emergency Medicine 5799870663 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional West Garden County CurrentSince Mar 1, 2018 Accepting new patients
Regional West Medical Center Emergency Medicine CurrentSince May 1, 2012 Accepting new patients
Garden County Hospital & Nursing Home CurrentSince Jul 1, 2024 Accepting new patients
Garden County Hospital & Nursing Home CurrentSince Jul 1, 2024 Accepting new patients
Garden County Hospital & Nursing Home Past Accepting new patients
Emergency Medicine Specialists LLC Emergency Medicine Past Accepting new patients
Panhandle Public Health District Past Accepting new patients
Regional West Physicians Clinic Past Accepting new patients

Locations

1100 W 2nd St
Oshkosh, NE 69154
Phone (308) 772-3283

3011 Avenue B
Scottsbluff, NE 69361
Phone (308) 630-2215

4021 Avenue B
Scottsbluff, NE 69361
Phone (308) 630-1384

Interoperability endpoints

  • Direct secure messaging: david.cornutt.p1@direct.rwgcrhc.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Garden County Health ServicesOshkosh, NE, CCN 28Z310 Hospital Contracted Managing Employee
Operational/Managerial Control		 Jul 1, 2024
Jul 1, 2024
Garden County Health ServicesOshkosh, NE, CCN 280780 Hospital Contracted Managing Employee
Operational/Managerial Control		 Jul 1, 2024
Jul 1, 2024
Garden County Health Services ClinicOshkosh, NE, CCN 283440 Rural health clinic Contracted Managing Employee
Operational/Managerial Control		 Jul 1, 2024
Jul 1, 2024

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

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

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oregon Health Sciences University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garden County Hospital and Nursing Home 5 clinicians
Regional West Garden County 7 clinicians
Regional West Medical Center 66 clinicians

Practice addresses (Care Compare)

1100 W 2ND St
Oshkosh, NE 69154-6117
Phone (308) 772-3283

1100 W 2ND St
Oshkosh, NE 69154-6152

4021 Ave B
Scottsbluff, NE 69361-4602
Phone (308) 630-1111

Hospital & facility affiliations

  • Regional West Medical Center Hospital, Scottsbluff, NE, CCN 280061
  • Garden County Health Services Hospital, Oshkosh, NE, CCN 281310
  • Garden County Health Services Hospital, Oshkosh, NE, CCN 280780

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1508928813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 AVENUE B",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614602",
            "telephone_number": "308-630-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 AVENUE B",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614602",
            "telephone_number": "308-630-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNUTT",
        "first_name": "DAVID",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NE",
            "license": "25899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

Verify at the official NPI Registry.