Active NPI
Lewis Cornelius, M.D.
- Emergency Medicine Physician
- Albany, KY
National Provider Identifier
1881646396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 24110
- Practice address
- 723 Burkesville St
Albany, KY 42602 - Phone
- (606) 387-7090
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 24110 | KY | Primary |
Addresses
Primary practice location
723 Burkesville St
Albany, KY 42602
Mailing address
2323 Lime Kiln LN
Louisville, KY 40222-3416
Phone (502) 339-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64241102 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24110 | KY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland Clinic, PLLC | Past | Accepting new patients | |
| Jane Todd Crawford Memorial Hospital, Inc. | Past | Accepting new patients | |
| Emergency Coverage, LLC | Emergency Medicine | Past | Accepting new patients |
| Nes Kentucky, Inc. | Emergency Medicine | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881646396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 LIME KILN LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402223416",
"telephone_number": "502-339-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 BURKESVILLE ST",
"city": "ALBANY",
"state": "KY",
"postal_code": "42602",
"telephone_number": "606-387-7090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNELIUS",
"first_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "24110",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64241102",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albany, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.