Rick Jay Cornella, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

29815 Issued in NC

Practice address

400 Shadowline Dr
Boone, NC 28607-5089

Phone

(828) 264-6850

Fax

(828) 264-0490

NPI assigned

Mar 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Triad Radiology Associates PLLC

  • Diagnostic Radiology Physician
  • Winston Salem, NC
  • NPI 1659485001
  NPD
• Triad Radiology Associates, PLLC

  • Vascular & Interventional Radiology Physician
  • Winston Salem, NC
  • NPI 1447368659
  NPD (past)
• Carolina Radiology Associates LLC

  • Diagnostic Radiology Physician
  • Conway, SC
  • NPI 1225014657
  NPD (past)
• Watauga Radiological Services PA

  • Diagnostic Radiology Physician
  • Richmond, VA
  • NPI 1023084936
  NPD (past)

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1811964604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SHADOWLINE DR",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075022",
            "telephone_number": "828-264-6850",
            "fax_number": "828-264-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SHADOWLINE DR",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075089",
            "telephone_number": "828-264-6850",
            "fax_number": "828-264-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELLA",
        "first_name": "RICK",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "29815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89126HA",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy Ann Conn, DMDI BOARD CERTIFICA
• Kathleen Elizabeth Connelly, PHD
• Larry James Cook, D.D.S
• Natalie Cooke Cooper, OTL
• Penelope Marie Copenhaver, O.D.
• Cornerstone Services, Inc.
• Teresa Cornett, CFOM
• Amanda Cottrell, M.A., NCC, LPC-A
• County of Watauga Office of County Accountant
• County of Watauga Office of County Accountant

• Diagnostic Radiology Physician in Boone, NC
• Providers in Boone, NC by specialty
• Diagnostic Radiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.