Individual provider Active NPI

Deborah Cornell, M.D.

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1801824586
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26675 Issued in NV
Practice address
3425 Cliff Shadows Pkwy Ste 250
Las Vegas, NV 89129-5112
Phone
(702) 382-1599
Fax
(702) 240-4962
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301086240 MI
Family Medicine Physician 207Q00000X 26675 NV Primary

Addresses

Primary practice location

3425 Cliff Shadows Pkwy Ste 250
Las Vegas, NV 89129-5112

Mailing address

PO Box 36310
Las Vegas, NV 89133-6310
Phone (702) 382-1599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NV2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20141223000823 TX Practitioner - Family Practice 4880752534 Reassigns benefits to 4 organizations
I20250904001097 NV Practitioner - Family Practice 4880752534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7100 Pirates Cove Rd Apt
Suite 1076
Las Vegas, NV 89145-0603

PO Box
Las Vegas, NV 89133

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301086240MIMDFamily Medicine Physician
26675NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Irene Benn Medical Center CurrentSince Feb 17, 2021 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Nov 22, 2024 Accepting new patients
DHHS IHS Phoenix CurrentSince Oct 26, 2014 Accepting new patients
Molin PLLC Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Nov 22, 2024 Accepting new patients
DHHS PHS IHS Phoenix Area CurrentSince Jun 9, 2025 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Oct 26, 2014 Accepting new patients
Ipc Hospitalist Services of New York, P.C. Past Accepting new patients

Locations

401 Picacho Rd
Winterhaven, CA 92283
Phone (760) 572-4100

3425 Cliff Shadows Pkwy
Las Vegas, NV 89129
Phone (702) 673-4745

3425 Cliff Shadows Pkwy
Ste 250
Las Vegas, NV 89129
Phone (702) 382-1599

4100 W 150th St
Cleveland, OH 44135

Interoperability endpoints

  • Direct secure messaging: deborah.cornell.1@31667.direct.athenahealth.com

Organizations & group practices 8

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 1

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1801824586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36310",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891336310",
            "telephone_number": "702-382-1599",
            "fax_number": "702-240-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 CLIFF SHADOWS PKWY STE 250",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891295112",
            "telephone_number": "702-382-1599",
            "fax_number": "702-240-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELL",
        "first_name": "DEBORAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301086240",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "26675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.