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Individual provider Active NPI

Mary Gordon Cornelius, DO

  • Gynecology Physician
  • Bloomfield Hills, MI
National Provider Identifier
1730190679
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
5101013601 Issued in MI
Practice address
2520 S Telegraph Rd Ste 100
Bloomfield Hills, MI 48302-0202
Phone
(248) 335-9207
Fax
(248) 335-2394
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 5101013601 MI Primary

Addresses

Primary practice location

2520 S Telegraph Rd Ste 100
Bloomfield Hills, MI 48302-0202

Mailing address

2520 S Telegraph Rd
Suite 200
Bloomfield Hills, MI 48302-0285
Phone (248) 335-9207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20051101001130 MI Practitioner - Obstetrics/Gynecology 5092732602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Physicians of MichiganGroup PAC ID 8921289760, 219 clinicians

Practice addresses (Care Compare)

9640 Commerce Rd
Suite 200
Commerce Township, MI 48382-4168
Phone (248) 366-0100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.26 of 100Reported as group
Quality
64.16
Promoting interoperability
100
Improvement activities
40
Cost
73.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101013601MIMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Physicians of Michigan CurrentSince Jul 14, 2014 Accepting new patients
McLaren Macomb Obstetrics & Gynecology Past Accepting new patients
MCG Professional Billing L.L.C. Obstetrics & Gynecology Past Accepting new patients

Locations

2520 S Telegraph Rd
Ste 100
Bloomfield Hills, MI 48302
Phone (248) 335-9207

2520 S Telegraph Rd
Ste 200
Bloomfld Hls, MI 48302
Phone (248) 335-9207

9640 Commerce Rd
Ste 200
Commerce Twp, MI 48382
Phone (248) 366-0100

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

Interoperability endpoints

  • Direct secure messaging: mcorneli@direct.dmc.org
  • Direct secure messaging: mary.gordon-cornelius.1@9704.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1730190679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 S TELEGRAPH RD",
            "address_2": "SUITE 200",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020285",
            "telephone_number": "248-335-9207",
            "fax_number": "248-335-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 S TELEGRAPH RD STE 100",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020202",
            "telephone_number": "248-335-9207",
            "fax_number": "248-335-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELIUS",
        "first_name": "MARY",
        "middle_name": "GORDON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MI",
            "license": "5101013601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.