Individual provider Active NPI

Steven J. Cornell, DPM

  • Podiatrist
  • Poughkeepsie, NY
National Provider Identifier
1639147663
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N003227 Issued in NY
Practice address
387 Hooker Ave
Poughkeepsie, NY 12603-3631
Phone
(845) 485-5700
Fax
(845) 485-5701
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N003227 NY Primary

Addresses

Primary practice location

387 Hooker Ave
Poughkeepsie, NY 12603-3631

Mailing address

5 Eastdale Ave S
Poughkeepsie, NY 12603-1955
Phone (845) 471-2243

Other identifiers 1

IdentifierTypeStateIssuer
00635227-2MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100709000189 NY Practitioner - Podiatry 5193857100 Reassigns benefits to 1 organization
Practice locations: Poughkeepsie, NY; Rhinebeck, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lewis J. Sims, DPM P.C.Group PAC ID 6406754688, 7 clinicians

Practice addresses (Care Compare)

5 Eastdale Ave S
Poughkeepsie, NY 12603-1955

969 Main St
Suite B
Fishkill, NY 12524-1791
Phone (845) 897-2735

Merit-based Incentive Payment System (MIPS)

Final score
97.36 of 100Reported as individual
Quality
87.63
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue30
Removal of skin lesions12
Removal of nail tissue600
Removal or shaving of skin growth90

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N003227NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis J Sims DPM P.C. Podiatrist CurrentSince Jan 2, 2020 Accepting new patients
Lewis J Sims DPM P.C. Podiatrist CurrentSince Dec 1, 2024 Accepting new patients

Locations

969 Main St
Ste B
Fishkill, NY 12524
Phone (845) 897-2735

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.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1639147663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 EASTDALE AVE S",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126031955",
            "telephone_number": "845-471-2243",
            "fax_number": "845-471-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 HOOKER AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126033631",
            "telephone_number": "845-485-5700",
            "fax_number": "845-485-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELL",
        "first_name": "STEVEN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00635227-2",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.