NPIMap

Individual provider Active NPI

Chris Robert Cornelius, M.D.

  • Family Medicine Physician
  • Milton, PA
National Provider Identifier
1790858637
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD486268 Issued in PA
Practice address
5170 State Route 405
Milton, PA 17847-7510
Phone
(570) 246-4575
NPI assigned
Nov 16, 2006
Last updated
Jun 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 042-0010037 VT
Family Medicine Physician 207Q00000X ME76538 FL
Family Medicine Physician 207Q00000X MD486268 PA Primary

Addresses

Primary practice location

5170 State Route 405
Milton, PA 17847-7510

Mailing address

3 Dogwood LN
Rutland, VT 05701-3774
Phone (802) 345-0851

Other practice location 1

215 Stratton Rd
Rutland, VT 05701-4621
Phone (802) 773-3386

Other practice location 2

2987 Vt Route 22A
Shoreham, VT 05770-9728
Phone (802) 897-7000

Other practice location 3

278 Vt Route 149
West Pawlet, VT 05775-9798
Phone (802) 645-0580

Other practice location 4

275 Route 30 N
Bomoseen, VT 05732-9647
Phone (802) 468-5641

Other practice location 5

420 Grove St
Brandon, VT 05733-9062
Phone (802) 247-6305

Other identifiers 5

IdentifierTypeStateIssuer
P00168543OtherVTMEDICARE RAILROAD
1009665MedicaidVT
08497OtherVTMVP
3203553OtherVTCIGNA
59378OtherVTBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080506000111 VT Practitioner - Family Practice 0345283891 Reassigns benefits to 6 organizations
I20241002000553 PA Practitioner - Family Practice 0345283891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

1 Hospital CT
Bellows Falls, VT 05101-1489
Phone (802) 463-9000

100 River St
Springfield, VT 05156-2930
Phone (802) 886-8900

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME76538FLMDFamily Medicine Physician
042-0010037VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of the Rutland Region, Inc. Family Medicine CurrentSince Jan 2, 2023 Accepting new patients
Community Health Centers of the Rutland Region, Inc. Family Medicine CurrentSince Jan 2, 2023 Accepting new patients
Community Health Centers of the Rutland Region, Inc. Family Medicine CurrentSince Jan 2, 2023 Accepting new patients
Geisinger Clinic Family Medicine Current Accepting new patients
Springfield Medical Care Systems Inc CurrentSince Jul 25, 2025 Accepting new patients
Community Health Centers of the Rutland Region Inc Family Medicine CurrentSince Jan 2, 2023 Accepting new patients
Community Health Centers of the Rutland Region Inc Family Medicine CurrentSince Jan 2, 2023 Accepting new patients
Geisinger Clinic CurrentSince Oct 14, 2024 Accepting new patients
Springfield Medical Care Systems Inc. Family Medicine CurrentSince Jul 25, 2025 Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Jan 2, 2023 Accepting new patients
Geisinger Clinic Family Medicine CurrentSince Oct 14, 2024 Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

5170 State Route 405
Milton, PA 17847
Phone (570) 246-4575

1 Hospital Ct
Bellows Falls, VT 05101
Phone (802) 463-1292

275 VT 30 N
Bomoseen, VT 05732
Phone (802) 468-5641

420 Grove St
Brandon, VT 05733
Phone (802) 247-6305

1 General Wing Rd
Rutland, VT 05701
Phone (802) 773-9131

215 Stratton Rd
Rutland, VT 05701
Phone (802) 773-3386

71 Allen St
Ste 402
Rutland, VT 05701
Phone (800) 468-9118

2987 Vt Route 22A
Shoreham, VT 05770
Phone (802) 897-7000

100 River St
Springfield, VT 05156
Phone (802) 886-8900

278 Vt Route 149
West Pawlet, VT 05775
Phone (800) 468-9118

Interoperability endpoints

  • Direct secure messaging: chris.cornelius.1@24182.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21546/brand/1/csg/1/fhir/r4

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 34

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1790858637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 DOGWOOD LN",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057013774",
            "telephone_number": "802-345-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5170 STATE ROUTE 405",
            "city": "MILTON",
            "state": "PA",
            "postal_code": "178477510",
            "telephone_number": "570-246-4575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Stratton Rd",
            "address_purpose": "LOCATION",
            "city": "Rutland",
            "state": "VT",
            "postal_code": "057014621",
            "country_code": "US",
            "telephone_number": "802-773-3386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2987 Vt Route 22A",
            "address_purpose": "LOCATION",
            "city": "Shoreham",
            "state": "VT",
            "postal_code": "057709728",
            "country_code": "US",
            "telephone_number": "802-897-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "278 Vt Route 149",
            "address_purpose": "LOCATION",
            "city": "West Pawlet",
            "state": "VT",
            "postal_code": "057759798",
            "country_code": "US",
            "telephone_number": "802-645-0580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 Route 30 N",
            "address_purpose": "LOCATION",
            "city": "Bomoseen",
            "state": "VT",
            "postal_code": "057329647",
            "country_code": "US",
            "telephone_number": "802-468-5641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 Grove St",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "VT",
            "postal_code": "057339062",
            "country_code": "US",
            "telephone_number": "802-247-6305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNELIUS",
        "first_name": "CHRIS",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "042-0010037",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME76538",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD486268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00168543",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009665",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "08497",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3203553",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "59378",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, PA

Sources for this page

Verify at the official NPI Registry.