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DR. EBONI NICOLE CORNISH M.D.
NPI 1891933131
General Acute Care Hospital in Reston, VA

Active since January 24, 2009Opted out of Medicare · through Dec 29, 2026
1860 TOWN CENTER DRIVE, 260, RESTON, VA 20190(703) 709-1119 Get Directions Write a Review

NPPES record last updated: September 19, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Eboni Nicole Cornish M.d. NPPES

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

DR. EBONI NICOLE CORNISH M.D. (NPI 1891933131) is an individual general acute care hospital provider in Reston, Virginia and active in the NPI registry since January 2009. She has opted out of Medicare through December 29, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1891933131
Entity TypeIndividualFemale
Primary Taxonomy282N00000X
Provider Legal NameDR. EBONI NICOLE CORNISHCredential: M.D.
Location Address1860 TOWN CENTER DRIVE, 260Reston, VA 20190-1928
Mailing Address3391 Vineland PlaceDumfries, VA 22026-1860 · (401) 559-4382
Phone(703) 709-1119
Sole ProprietorYes
Enumeration DateJanuary 24, 2009
Last NPPES UpdateSeptember 19, 2013
✔ NPI 1891933131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
1860 TOWN CENTER DRIVE, Reston, VA 20190
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Eboni Nicole Cornish M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 29, 2016 through December 29, 2026.

Opt-Out Effective DateDecember 29, 2016
Opt-Out In Effect ThroughDecember 29, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDA H MOSELY MD PC
Surgery (Surgery of the Hand)
1860 TOWN CENTER DRIVE
RESTON, VA 20190
Fairfax County (703) 481-1811
UNITED PRIMARY CARE, LLC
Internal Medicine
1860 TOWN CENTER DRIVE, SUITE 320
RESTON, VA 20190
Fairfax County (607) 624-6496
CAITLIN NOELLE FORTUNE PA
Physician Assistant (Medical)
1860 TOWN CENTER DRIVE
RESTON, VA 20190
Fairfax County (703) 689-2050
DR. SIMA SHUKLA M.D.
Internal Medicine
1860 TOWN CENTER DRIVE, SUITE # 210
RESTON, VA 20190
Fairfax County (703) 481-6999
MR. AHMAD OSMAN NOORI M.D.
Internal Medicine (Nephrology)
1860 TOWN CENTER DRIVE, SUITE 280
RESTON, VA 20190
Fairfax County (703) 742-8500
QUALITY INTERNAL MEDICINE, PLLC
Internal Medicine
1860 TOWN CENTER DRIVE, SUITE 255
RESTON, VA 20190
Fairfax County (703) 707-0607
ADVANCED BRAIN CENTERS OF VA
Emergency Medicine (Undersea and Hyperbaric Medicine)
1860 TOWN CENTER DRIVE, SUITE G220
RESTON, VA 20190
Fairfax County (571) 201-8238

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 Eboni Cornish's NPI number?

The NPI number for Eboni Cornish is 1891933131. It was assigned to this individual provider in the NPPES registry on January 24, 2009.

Where is Eboni Cornish located?

Eboni Cornish practices at 1860 Town Center Drive 260, Reston, VA 20190. The listed phone number is (703) 709-1119.

What is Eboni Cornish's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Eboni Cornish enrolled in Medicare?

No. Eboni Cornish has opted out of Medicare through December 29, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Eboni Cornish was last updated on September 19, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.