JUAN ADRIAN CORNEJO (MD) – Obstetrics Physician, NPI 1164751525

JUAN ADRIAN CORNEJO (MD) is a healthcare provider. based in Duncan, Oklahoma. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 01067781B (IN). The NPI Number for JUAN ADRIAN CORNEJO (MD) is 1164751525

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
JUAN ADRIAN CORNEJO (MD)
NPI
1164751525
Phone
Not provided
Address
2515 N WHISENANT DR
Enumeration Date
15 December 2009
Last Update Date
13 February 2024

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
5802516806
Graduation Year
2006 (20 years ago)
PAC ID
8729104054
Group Practice PAC ID
5193613057
Professional Enrollment ID
I20180427001319
Address ID
OK735332682DU2515XDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness75
Years active:16State licenses:2Digital endpointsOther names

480 OBSTETRICS/GYNECOLOGY in OK

Provider Addresses for JUAN ADRIAN CORNEJO (MD)

  • 2515 N WHISENANT DR

    DUNCAN, OK 735331585

    Phone:

    Type: Mailing

  • 2515 WHISENANT DRIVE

    DUNCAN, OK 735331585

    Phone: (580) 255-2229

    Type: Location

  • Duncan Regional Loop, Duncan, Stephens County, Oklahoma, 73533, United States

    DUNCAN, OK 735331570

    Phone: (580) 255-2229

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $5,019.

Total Amount is formed as General ($5,019) + Research ($0) + Ownership ($0) = $5,019.

Last reported payment date: 2023-12-07 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($5,019).

Total Amount

$5,019

General + Research + Ownership

Payments

4

Total payment records

General Amount

$5,019

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Intuitive Surgical, Inc.$5,019
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-04-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180427001319IObstetrics/GynecologyOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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 73533)

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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: 5193613057View full group profile
NameSpecialtyState
Family PracticeOK
O B S T E T R I C S/ G Y N E C O L O G YOK
Family PracticeOK
Family PracticeOK
Nurse PractitionerTX
Physician AssistantOK
Nurse PractitionerOK
Internal Medicine, Cardiovascular Disease (Cardiology)OK
Family PracticeOK
Family PracticeOK

Reviews

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Frequently asked questions

What is the 10-digit NPI for JUAN ADRIAN CORNEJO (MD)?
JUAN ADRIAN CORNEJO (MD) — NPI 1164751525 — is the standard way to identify this listing.
Does the file indicate JUAN ADRIAN CORNEJO (MD) is practicing under active NPI?
Directory data currently reports JUAN ADRIAN CORNEJO (MD) as active.
What taxonomy line describes JUAN ADRIAN CORNEJO (MD)?
For research purposes, treat JUAN ADRIAN CORNEJO (MD) as Obstetrics Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is JUAN ADRIAN CORNEJO (MD) based?
JUAN ADRIAN CORNEJO (MD) is tied to Duncan, Oklahoma in the data we show; additional addresses may exist on the full record.
Why does JUAN ADRIAN CORNEJO (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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