Individual provider Active NPI

Dan Roger Cornell, M.D.

  • Radiation Oncology Physician
  • McKeesport, PA
National Provider Identifier
1609857028
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
D0039518 Issued in MD
Practice address
1500 5TH Ave
McKeesport, PA 15132-2422
Phone
(412) 664-2676
NPI assigned
Nov 11, 2005
Last updated
Mar 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X D0039518 MD Primary

Addresses

Primary practice location

1500 5TH Ave
McKeesport, PA 15132-2422

Mailing address

1802 Ocean Dr
Vero Beach, FL 32963-2110
Phone (301) 455-1090

Other identifiers 1

IdentifierTypeStateIssuer
147891500MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190409002477 PA Practitioner - Radiation Oncology 2769522036 Reassigns benefits to 1 organization
I20201026000039 FL Practitioner - Radiation Oncology 2769522036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Maryland School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indian River Health Services IncGroup PAC ID 9234130329, 335 clinicians

Practice addresses (Care Compare)

3555 10TH CT
Suite 101
Vero Beach, FL 32960-5013
Phone (772) 794-3333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
Quality
80.2
Promoting interoperability
99.24
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Cancer Institute Cancer Services Radiation Oncology CurrentSince Mar 25, 2019 Accepting new patients
Indian River Health Services Inc CurrentSince Nov 12, 2020 Accepting new patients
Indian River Health Services Inc CurrentSince Nov 12, 2020 Accepting new patients
University of Pittsburgh Cancer Institute Cancer Services CurrentSince Mar 25, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666

3555 10th Ct
Ste 101
Vero Beach, FL 32960
Phone (772) 794-3333

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

22681 Route 68
Clarion, PA 16214
Phone (814) 227-1221

200 Village Dr
Greensburg, PA 15601
Phone (412) 469-5500

1500 5th Ave
McKeesport, PA 15132
Phone (412) 664-2167

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

Networks

  • Freedom Health HMO Network

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1609857028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 OCEAN DR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329632110",
            "telephone_number": "301-455-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 5TH AVE",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151322422",
            "telephone_number": "412-664-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELL",
        "first_name": "DAN",
        "middle_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-11",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MD",
            "license": "D0039518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147891500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKeesport, PA

Sources for this page

Verify at the official NPI Registry.