Individual provider Active NPI

Corenthian Jerome Booker, M.D.

  • Maternal & Fetal Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1740402007
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
58569 Issued in AZ
Practice address
9440 E Ironwood Square Dr
Scottsdale, AZ 85258-4569
Phone
(480) 756-6000
Fax
(855) 636-8770
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 2012-01926 NC
Maternal & Fetal Medicine Physician 207VM0101X 2009-00624 NC
Maternal & Fetal Medicine Physician 207VM0101X 036167692 IL
Maternal & Fetal Medicine Physician 207VM0101X 58569 AZ Primary
Maternal & Fetal Medicine Physician 207VM0101X 2023030719 MO

Addresses

Primary practice location

9440 E Ironwood Square Dr
Scottsdale, AZ 85258-4569

Mailing address

9440 E Ironwood Square Dr
Scottsdale, AZ 85258-4569
Phone (480) 756-0000

Other practice location 1

520 N Elm St Ste B
Greensboro, NC 27401-2018
Phone (336) 832-6986

Other practice location 2

2620 N 3rd St Ste 103
Phoenix, AZ 85004-1153
Phone (480) 756-6000

Other practice location 3

2242 W Southern Ave
Mesa, AZ 85202-4704
Phone (480) 756-0000

Other practice location 4

4864 E Baseline Rd Ste 101
Mesa, AZ 85206-4629
Phone (480) 756-6000

Other practice location 5

5605 W Eugie Ave Ste 111
Glendale, AZ 85304-1273
Phone (480) 756-6000

Other practice location 6

9305 W Thomas Rd Ste 150
Phoenix, AZ 85037-3360
Phone (480) 756-6000

Other practice location 7

520 N Elam Ave
Fl 2 Ste B
Greensboro, NC 27403-1127
Phone (336) 832-6986

Other practice location 8

23 Sunnybrook Rd
Raleigh, NC 27610-1855
Phone (919) 350-6002

Other practice location 9

1910 W Frye Rd
Chandler, AZ 85224-6236
Phone (480) 756-6000

Other identifiers 1

IdentifierTypeStateIssuer
552544MedicaidAZ

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address cbooker248088@directHISP.wakemed.org Direct
Direct Messaging Address corenthian.booker.1@20219.direct.athenahealth.com Direct Valley Perinatal Services, LLC
Direct Messaging Address cbooker493570@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, AZ, MO, IL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20121218000010 NC Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 5597917609 Reassigns benefits to 3 organizations
I20190626002537 AZ Practitioner - Obstetrics/Gynecology 5597917609 Reassigns benefits to 1 organization
I20230912003070 MO Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 5597917609 Reassigns benefits to 3 organizations
I20240402003107 IL Practitioner - Obstetrics/Gynecology 5597917609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Moses H Cone Memorial Hospital Operating Corporation 724 clinicians
Valley Perinatal Services LLC 61 clinicians
East Carolina University 499 clinicians

Practice addresses (Care Compare)

1200 N Elm St
Greensboro, NC 27401-1020

1910 W Frye Rd
Chandler, AZ 85224-6236
Phone (480) 467-2145

600 Moye Blvd
Greenville, NC 27834-4354
Phone (252) 737-7000

621 S Main St
Suite 200
Reidsville, NC 27320-5034
Phone (336) 349-4454

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009-00624NCMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care St Louis CurrentSince Jan 30, 2024 Accepting new patients
Wakemed Specialists Group LLC CurrentSince Aug 22, 2019 Accepting new patients
East Carolina University Obstetrics & Gynecology CurrentSince Sep 1, 2017 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Sep 19, 2019 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Maternal & Fetal Medicine CurrentSince Sep 19, 2019 Accepting new patients
Saint Francis Medical Center Current Accepting new patients
SSM Health Care Group Obstetrics & Gynecology CurrentSince Sep 1, 2023 Accepting new patients
Saint Francis Medical Center CurrentSince Nov 4, 2025 Accepting new patients
SSM Health Care St. Louis CurrentSince Jan 30, 2024 Accepting new patients
Wakemed Specialists Group LLC CurrentSince Aug 22, 2019 Accepting new patients
SSM Health Care Group CurrentSince Sep 1, 2023 Accepting new patients
East Carolina University Current Accepting new patients
Valley Perinatal Services, LLC Obstetrics & Gynecology CurrentSince Jul 1, 2019 Accepting new patients
Saint Francis Medical Center CurrentSince Nov 4, 2025 Accepting new patients
Wakemed Specialists Group, LLC Obstetrics & Gynecology Current Accepting new patients
Fetal and Women'S Center of Arizona, LLC PastSince Jul 1, 2019 Accepting new patients
Private Diagnostic Clinic, PLLC Obstetrics & Gynecology Past Accepting new patients

Locations (25 of 36)

1910 W Frye Rd
Chandler, AZ 85224
Phone (480) 467-2145

1981 E Bonanza Ct
Ste 201
Gilbert, AZ 85297

5605 W Eugie Ave
Ste 111
Glendale, AZ 85304
Phone (480) 306-8195

6316 W Union Hills Dr
Ste 100
Glendale, AZ 85308
Phone (623) 233-1300

6320 W Union Hills Dr
Ste 1600B
Glendale, AZ 85308
Phone (602) 277-4868

1170 N Estrella Pkwy
Ste A107
Goodyear, AZ 85338
Phone (623) 263-0105

13555 W McDowell Rd
Ste 206
Goodyear, AZ 85395
Phone (602) 806-7610

2152 S Vineyard
Ste 138
Mesa, AZ 85210
Phone (480) 539-6646

2242 W Southern Ave
Mesa, AZ 85202
Phone (480) 491-1600

4864 E Baseline Rd
Ste 101
Mesa, AZ 85206
Phone (480) 467-2145

9305 W Thomas Rd
Ste 15
Phoenix, AZ 85037

2620 N 3rd St
Ste 103
Phoenix, AZ 85004
Phone (480) 610-6152

8410 W Thomas Rd
Ste 138
Phoenix, AZ 85037
Phone (602) 266-2272

3811 E Bell Rd
Ste 312
Phoenix, AZ 85032
Phone (602) 494-2991

10240 W Indian School Rd
Ste 100
Phoenix, AZ 85037
Phone (623) 907-2377

9305 W Thomas Rd
Ste 150
Phoenix, AZ 85037
Phone (623) 889-0411

9440 E Ironwood Square Dr
Scottsdale, AZ 85258
Phone (480) 551-9700

5750 E Highway 90
Ste 300
Sierra Vista, AZ 85635
Phone (520) 263-3620

900 E Walnut St
Ste 5
Carbondale, IL 62901
Phone (618) 519-9182

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

1191 Fortune Blvd
Ste 1
Shiloh, IL 62269
Phone (618) 206-6101

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189

Interoperability endpoints

  • Direct secure messaging: cbooker491913@direct-ehr-ssmhc.com
  • Direct secure messaging: cbooker493570@direct.conehealth.com
  • Direct secure messaging: corenthian.booker.1@20219.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20219/brand/1/csg/1/fhir/r4
  • Direct secure messaging: cbooker248088@directhisp.wakemed.org

Organizations & group practices 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1740402007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9440 E IRONWOOD SQUARE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584569",
            "telephone_number": "480-756-0000",
            "fax_number": "855-636-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
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            "city": "SCOTTSDALE",
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            "postal_code": "852584569",
            "telephone_number": "480-756-6000",
            "fax_number": "855-636-8770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 N Elm St Ste B",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274012018",
            "country_code": "US",
            "telephone_number": "336-832-6986",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2620 N 3rd St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850041153",
            "country_code": "US",
            "telephone_number": "480-756-6000",
            "fax_number": "855-636-8770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2242 W Southern Ave",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852024704",
            "country_code": "US",
            "telephone_number": "480-756-0000",
            "fax_number": "855-636-8770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4864 E Baseline Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852064629",
            "country_code": "US",
            "telephone_number": "480-756-6000",
            "fax_number": "855-636-8770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5605 W Eugie Ave Ste 111",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853041273",
            "country_code": "US",
            "telephone_number": "480-756-6000",
            "fax_number": "855-636-8770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9305 W Thomas Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850373360",
            "country_code": "US",
            "telephone_number": "480-756-6000",
            "fax_number": "855-636-8770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 N Elam Ave",
            "address_2": "Fl 2 Ste B",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274031127",
            "country_code": "US",
            "telephone_number": "336-832-6986",
            "fax_number": "336-832-6983",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23 Sunnybrook Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276101855",
            "country_code": "US",
            "telephone_number": "919-350-6002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1910 W Frye Rd",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852246236",
            "country_code": "US",
            "telephone_number": "480-756-6000",
            "fax_number": "855-636-8770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "CORENTHIAN",
        "middle_name": "JEROME",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NC",
            "license": "2012-01926",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NC",
            "license": "2009-00624",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "IL",
            "license": "036167692",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "AZ",
            "license": "58569",
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MO",
            "license": "2023030719",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "552544",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbooker248088@directHISP.wakemed.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "23 Sunnybrook Rd",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276101855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "corenthian.booker.1@20219.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Valley Perinatal Services, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9440 E Ironwood Square Dr",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852584569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbooker493570@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "520 N Elm St Ste B",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274012018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.