JAMES T CORNWELL (MD) – Surgery Physician, NPI 1659389658

Surgery Physician

JAMES T CORNWELL (MD) is a healthcare provider. based in South bend, Indiana. specializing in Surgery Physician. They hold the professional credentials MD. They hold a License No. 01056336A (IN). The NPI Number for JAMES T CORNWELL (MD) is 1659389658

Main info

Male

40 Years Of Experience

Accepts Medicare Assignment

Name

JAMES T CORNWELL (MD)

NPI

1659389658

Phone

(574) 647-1610

Address

710 N NILES AVE

Enumeration Date

4 August 2006

Last Update Date

31 March 2021

Doctor Profile

Medical School Name

BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY

Secondary Phone

2193241700

Graduation Year

1986 (40 years ago)

PAC ID

2264459627

Group Practice PAC ID

1254243306

Professional Enrollment ID

I20100923001506

Contacts

Secure Messaging

CORNWELL@mybeacon.cernerdirect.com

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience62

Completeness85

Years active:19State licenses:1Other namesUpdated within 12 months

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Provider Addresses for JAMES T CORNWELL (MD)

710, North Niles Avenue, South Bend, Saint Joseph County, Indiana, 46617, United States
SOUTH BEND, IN 466171924
Phone: (574) 647-1610
Type: Mailing
900, I Street, La Porte, LaPorte County, Indiana, 46350, United States
LA PORTE, IN 463505533
Phone: (219) 324-1700
Fax: (219) 324-1602
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46617)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 1254243306View full group profile

Name	Specialty	State
MAYANK KUMAR MITTAL (MD)	Cardiovascular Disease (Cardiology), Interventional Cardiology	IN
REBECCA CRIMMINS	Nurse Practitioner	IN
ANNA K KRAGT (MD)	-	IN
TRICIA L MORENO (AUD)	Qualified Audiologist	IN
GINA M. CONNOLLY (NP)	Nurse Practitioner	IN
TRACI RENEE PULLIAM (DNP)	-	IN
DIANE RENE SHARKEY (NP)	Nurse Practitioner	IN
DR. KATHRYN A. HANLON (M.D.)	-	IN
SCOTT G THOMAS (MD)	General Surgery	IN
MRS. OLUYINKA GRACE OSUNNUGA (NP)	-	IN