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DR. MICHELLE IRENE CORNMAN M.D.
NPI 1902092307
Pediatrics in Los Angeles, CA

Active since September 19, 2007PECOS Enrolled
6311 MONTEREY RD, #209, LOS ANGELES, CA 90042(323) 259-0372 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Michelle Irene Cornman M.d. NPPES

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

DR. MICHELLE IRENE CORNMAN M.D. (NPI 1902092307) is an individual pediatrics provider in Los Angeles, California, licensed in California (A98934) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902092307
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MICHELLE IRENE CORNMANCredential: M.D.
Location Address6311 MONTEREY RD, #209Los Angeles, CA 90042-4391
Mailing Address6311 Monterey Rd, #209Los Angeles, CA 90042-4391 · (323) 259-0372
Phone(323) 259-0372
Sole ProprietorNo
Enumeration DateSeptember 19, 2007
Last NPPES UpdateDecember 13, 2021
NPPES CertifiedDecember 8, 2021
✔ NPI 1902092307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A98934
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X · License A98934 (CA)
6311 MONTEREY RD, Los Angeles, CA 90042
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Other Names 1

Former Name (1)Dr. Michelle Irene Salazar-cornman M.d.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michelle Irene Cornman M.d. 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 Reassignment

Medicare enrollment records show Michelle Cornman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
3.3 mi
Health Maintenance Organization
2626 COLORADO BLVD
Los Angeles, CA 90041
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1396287082 (California)
  • 13,921 clinicians in this Medicare group
NPI 1013409044 (877) 608-0044

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Michelle Cornman's NPI number?

The NPI number for Michelle Cornman is 1902092307. It was assigned to this individual provider in the NPPES registry on September 19, 2007. The provider is also known as Dr. Michelle Irene Salazar-Cornman M.D..

Where is Michelle Cornman located?

Michelle Cornman practices at 6311 Monterey Rd #209, Los Angeles, CA 90042. The listed phone number is (323) 259-0372.

What is Michelle Cornman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Michelle Cornman enrolled in Medicare?

Yes. Michelle Cornman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michelle Cornman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Cornman reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The 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 Michelle Cornman'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 Michelle Cornman was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.