Individual provider Active NPI

Davin Dykes Cordell, MD

  • Orthopaedic Surgery of the Spine Physician
  • Corpus Christi, TX
National Provider Identifier
1780978460
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
R2838 Issued in TX
Practice address
6118 Parkway
Corpus Christi, TX 78414-2455
Phone
(361) 883-2000
Fax
(361) 561-1354
NPI assigned
May 31, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X R2838 TX
Orthopaedic Surgery of the Spine Physician 207XS0117X 2016006401 MO
Orthopaedic Surgery of the Spine Physician 207XS0117X R2838 TX Primary

Addresses

Primary practice location

6118 Parkway
Corpus Christi, TX 78414-2455

Mailing address

PO Box 6770
Corpus Christi, TX 78466-6770
Phone (361) 883-2000

Other practice location 1

4921 Parkview Pl
Ste 6A/6B/12A
Saint Louis, MO 63110-1032
Phone (314) 747-2500

Other identifiers 1

IdentifierTypeStateIssuer
374054001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170816003978 TX Practitioner - Orthopedic Surgery 0446545016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Medical School at San Antonio, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shea Physical Therapy Specialists LLCGroup PAC ID 6204245194, 194 clinicians
Orthopaedic Surgery and Sports Medicine Associates LLPGroup PAC ID 9234190513, 10 clinicians

Practice addresses (Care Compare)

5440 Everhart Rd
Corpus Christi, TX 78411-4838
Phone (361) 994-5224

6118 Pkwy Dr
Corpus Christi, TX 78414-2455
Phone (361) 883-2000

Hospital & facility affiliations

  • Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046
  • Pam Rehabilitation Hospital of Corpus Christi Inpatient rehabilitation facility, Corpus Christi, TX, CCN 673067

Merit-based Incentive Payment System (MIPS)

Final score
72.85 of 100Reported as individual
Quality
55
Promoting interoperability
92
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion60
Laminectomy or laminotomy (partial removal of spine bones)42
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016006401MOMDOrthopaedic Surgery of the Spine Physician
R2838TXMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Surgery and Sports Medicine Associates, L.L.P. Orthopaedic Surgery CurrentSince Sep 1, 2017 Accepting new patients

Locations

6118 Parkway Dr
Corpus Christi, TX 78414
Phone (361) 883-2000

Interoperability endpoints

  • Direct secure messaging: davin.cordell.1@30476.direct.athenahealth.com
  • Direct secure messaging: dcordell@direct.orthocentercc.md

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.

Hospital & facility affiliations 2

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": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1780978460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6770",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784666770",
            "telephone_number": "361-883-2000",
            "fax_number": "361-561-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6118 PARKWAY",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784142455",
            "telephone_number": "361-883-2000",
            "fax_number": "361-561-1354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4921 Parkview Pl",
            "address_2": "Ste 6A/6B/12A",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631101032",
            "country_code": "US",
            "telephone_number": "314-747-2500",
            "fax_number": "314-747-2598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDELL",
        "first_name": "DAVIN",
        "middle_name": "DYKES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-31",
        "last_updated": "2022-07-21",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "R2838",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MO",
            "license": "2016006401",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "R2838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374054001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.