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Dr. Christopher Ja Cornell , DO, MS, ATC

General Practice β€’ Kaneohe, HI

Active NPI 1831776699 Individual Practitioner Male Practitioner
Practice location in NPPES

47-567 Alawiki St
Kaneohe, HI 967444684

Call 7273841414 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

47-567 Alawiki St

Kaneohe, HI 967444684

Telephone 7273841414
Organization at the Same NPPES Address or Phone
Sheridan Radiology Services Of Pinellas, Inc Facility NPI 1013267657

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2021

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

5 years (graduated 2021)

CMS Doctors and Clinicians data list 2021 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Cornell has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Cornell as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Kaneohe and Hawaii

1 active clinicians are listed under General Practice with a practice address in Kaneohe, HI (171 in Hawaii).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-08-30
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES HI DOS-2325-0

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

License # reported to NPPES OK 7812

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Hawaii State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL PRACTICE

Medicare Enrollment ID

I20260220003579

Enrollment State Jurisdiction

HI

PECOS Control ID

7214418979

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

13 listed
Dr. Brian Ackerman , MD

Emergency Medicine

NPI 1366684615

Doctor of Medicine (M.D.)

NPI 1962883652

Doctor of Medicine (M.D.)

Dr. Robert Grammatico , MD

Emergency Medicine

NPI 1548503311

Doctor of Medicine (M.D.)

Dr. Taylor Gustin , DO

Student in an Organized Health Care Education/Training Program

NPI 1447710264

Doctor of Osteopathic Medicine (D.O.)

Whitney Hall , PA-C

Physician Assistant

NPI 1548975899

Physician Assistant (Certified)

NPI 1538628359

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 30, 2022

Registered at 47-567 ALAWIKI ST, KANEOHE, HI 967444684 (Tel: 7273841414)

πŸ“
Updated Business Mailing Address August 30, 2022

Registered at 47-567 ALAWIKI ST, KANEOHE, HI 967444684 (Tel: 8083933228)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2022

Family Medicine (license number reported to NPPES: OK 7812)

βœ…
NPI Profile Active March 26, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 26, 2021

Registered at 6500 38TH AVE N, ST PETERSBURG, FL 337101629 (Tel: 7273841414)

πŸ“
Business Mailing Address (Initial Record) March 26, 2021

Registered at 6500 38TH AVE N, ST PETERSBURG, FL 337101629 (Tel: 7273841414)

πŸ‘€
Provider Name / Credentials (Initial Record) March 26, 2021

Recorded as CHRISTOPHER CORNELL, DO, MS, ATC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2021

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 26, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1831776699
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2021
Last Update: August 30, 2022
Sole Proprietor: Yes

Mailing Address

47-567 Alawiki St

Kaneohe, HI 967444684

Phone: 8083933228

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.