DR. EDWARD CORNETT DO
NPI 1124064274
General Practice in Beachwood, OH

Active since June 20, 2006PECOS Enrolled
3690 ORANGE PL STE 150, BEACHWOOD, OH 44122(216) 839-0933(216) 839-0934 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 5, 2022, Sep 11, 2018 (2 updates tracked since 2018).

About Dr. Edward Cornett Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWARD CORNETT DO (NPI 1124064274) is an individual general practice provider in Beachwood, Ohio, licensed in Ohio (34.004576) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124064274
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. EDWARD CORNETTCredential: DO
Location Address3690 ORANGE PL STE 150Beachwood, OH 44122-4476
Mailing Address21055 Shelburne RdShaker Heights, OH 44122-1945 · (216) 224-1841
Fax(216) 839-0934
Sole ProprietorNo
Enumeration DateJune 20, 2006
Last NPPES UpdateDecember 5, 20222 updates tracked since enumeration
NPPES CertifiedDecember 5, 2022
✔ NPI 1124064274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in OH · 34.004576
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3690 ORANGE PL STE 150, Beachwood, OH 44122

Other Names 1

Professional Name (2)Dr. Edward Cornett Do

Other Identifiers 1

Medicaid1124064274OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edward Cornett Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Edward Cornett reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
35557 CENTER RIDGE RD
North Ridgeville, OH 44039
  • Reassigned Medicare billing, Ohio enrollment
  • 88 clinicians in this Medicare group
Emergency Medicine
630 E RIVER ST
Elyria, OH 44035
  • Reassigned Medicare billing, Ohio enrollment
  • 251 clinicians in this Medicare group
Emergency Medicine
100 HOSPITAL ST
Booneville, MS 38829
  • Reassigned Medicare billing, Virginia enrollment
  • 29 clinicians in this Medicare group
General Acute Care Hospital
400 SOLDIER CREEK ROAD
Rosebud, SD 57570
  • Reassigned Medicare billing, Texas enrollment
  • 386 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Cornett's NPI number?

The NPI number for Edward Cornett is 1124064274. It was assigned to this individual provider in the NPPES registry on June 20, 2006. The provider is also known as Dr. Edward Cornett Do.

Where is Edward Cornett located?

Edward Cornett practices at 3690 Orange Pl Ste 150, Beachwood, OH 44122. The listed phone number is (216) 839-0933.

What is Edward Cornett's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Edward Cornett enrolled in Medicare?

Yes. Edward Cornett is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Edward Cornett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Cornett reassigns Medicare benefits to 4 organizations: Lorain County Health & Dentistry (North Ridgeville, OH), Physicians Link Center LLC (Elyria, OH), United Emergency Services, Inc. (Booneville, MS) and Rosebud Indian Health Service (Rosebud, SD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edward Cornett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Edward Cornett was last updated on December 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.