Active NPI
Lisa Cornelius, M.D.
- Infectious Disease Physician
- Austin, TX
National Provider Identifier
1538129481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- L6844
- Practice address
- 1100 W 49TH St
Austin, TX 78756-3101 - Phone
- (512) 776-6309
- NPI assigned
- Mar 24, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | L6844 | TX | Primary |
Addresses
Primary practice location
1100 W 49TH St
Austin, TX 78756-3101
Mailing address
1100 W 49TH St
Austin, TX 78756-3101
Phone (512) 776-6309
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8J0636 | Other | TX | BLUE SHIELD |
| 159620703 | Medicaid | TX | |
| 1596207-01 | Medicaid | TX | |
| 1596207-02 | Other | TX | CSHCN |
| P00047686 | Other | TX | RR/MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of State Health Services | Past | Accepting new patients | |
| Texas a&M University System Health Science Center | Past | Accepting new patients |
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.
-
- Clinic/Center
- San Antonio, TX
- NPI 1316000144
-
- Family Medicine Physician
- Bryan, TX
- NPI 1063699312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414454400000",
"number": "1538129481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 W 49TH ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787563101",
"telephone_number": "512-776-6309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 W 49TH ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787563101",
"telephone_number": "512-776-6309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNELIUS",
"first_name": "LISA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2014-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "TX",
"license": "L6844",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "8J0636",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "159620703",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1596207-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "1596207-02",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR/MEDICARE",
"identifier": "P00047686",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.