Active NPI
Kasey Catherine Cornell, M.D.
- Pulmonary Disease Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 2015022016
- Practice address
- 10010 Kennerly Rd
Saint Louis, MO 63128 - Phone
- (314) 525-4137
- Fax
- (314) 525-4985
- NPI assigned
- Jun 12, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 2015022016 | MO | Primary |
Addresses
Primary practice location
10010 Kennerly Rd
Saint Louis, MO 63128
Mailing address
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-4137
Other practice location 1
101 S Fairview Rd
Columbia, MO 65203-7637
Phone (573) 882-4464
Other practice location 2
1400 US Highway 61
Festus, MO 63028-4100
Phone (636) 933-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Missouri, Columbia School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-4137
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Adult Critical Care, LLC | Current | Accepting new patients | |
| The Curators of the University of Missouri | Current | Accepting new patients | |
| Curators of the University of Missouri | Current | Accepting new patients | |
| Mercy Hospital South | Past | Accepting new patients |
Locations
1 Hospital Dr
#421
Columbia, MO 65212
Phone (573) 884-1606
1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568
101 S Fairview Rd
Columbia, MO 65203
Phone (573) 882-1095
1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
901 E 5th St
Washington, MO 63090
Phone (636) 239-8000
Organizations & group practices 4
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Saint Louis, MO
- NPI 1730119421
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1235126921
-
- Durable Medical Equipment & Medical Supplies
- Columbia, MO
- NPI 1356963201
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564963200000",
"number": "1790047082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10010 KENNERLY RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282106",
"telephone_number": "314-525-4137",
"fax_number": "314-525-4985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10010 KENNERLY RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63128",
"telephone_number": "314-525-4137",
"fax_number": "314-525-4985"
}
],
"practiceLocations": [
{
"address_1": "101 S Fairview Rd",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652037637",
"country_code": "US",
"telephone_number": "573-882-4464",
"fax_number": "573-884-8142",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 US Highway 61",
"address_purpose": "LOCATION",
"city": "Festus",
"state": "MO",
"postal_code": "630284100",
"country_code": "US",
"telephone_number": "636-933-4100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORNELL",
"first_name": "KASEY",
"middle_name": "CATHERINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-12",
"last_updated": "2019-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MO",
"license": "2015022016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.