Individual provider Active NPI

Peter J Cornell, MD

  • Ophthalmology Physician
  • Beverly Hills, CA
National Provider Identifier
1548370794
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G55677 Issued in CA
Practice address
450 N Bedford Drive
Suite 101
Beverly Hills, CA 90210-4324
Phone
(310) 274-9205
Fax
(310) 274-7229
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G55677 CA Primary

Addresses

Primary practice location

450 N Bedford Drive
Suite 101
Beverly Hills, CA 90210-4324

Mailing address

450 N Bedford Drive
Suite 101
Beverly Hills, CA 90210-4324
Phone (310) 274-9205

Other identifiers 2

IdentifierTypeStateIssuer
00G556770MedicaidCA
GR0007690OtherCAMEDICAID GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20100215000123 CA Practitioner - Ophthalmology 9436293438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, Geffen School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peter J Cornell M D IncGroup PAC ID 3476690959, 4 clinicians

Practice addresses (Care Compare)

450 N Bedford Dr
Suite 101
Beverly Hills, CA 90210-4305
Phone (310) 274-9205

Merit-based Incentive Payment System (MIPS)

Final score
92.16 of 100Reported as group
Quality
100
Improvement activities
40
Cost
73.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery465

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G55677CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peter J Cornell MD Inc Ophthalmology CurrentSince Aug 1, 1988 Accepting new patients
Peter J Cornell MD Inc CurrentSince Aug 1, 1988 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

450 N Bedford Dr
Ste 101
Beverly Hills, CA 90210
Phone (310) 274-9205

Interoperability endpoints

  • Direct secure messaging: pcornell@bhea.intellechartdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548370794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N BEDFORD DRIVE",
            "address_2": "SUITE 101",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104324",
            "telephone_number": "310-274-9205",
            "fax_number": "310-274-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N BEDFORD DRIVE",
            "address_2": "SUITE 101",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104324",
            "telephone_number": "310-274-9205",
            "fax_number": "310-274-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELL",
        "first_name": "PETER",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G55677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G556770",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "GR0007690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.