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CORNERSTONE FAMILY HEALTH S.C.
NPI 1912066788
Preferred Provider Organization in Lisle, IL

Active since December 07, 2006CLIA 14D1012377 · Waiver
3080 OGDEN AVE STE 204, LISLE, IL 60532(630) 734-0580(630) 734-0581 Get Directions Write a Review

NPPES record last updated: March 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 1, 2021, Sep 3, 2020 (2 updates tracked since 2020).

About Cornerstone Family Health S.c. NPPES

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

CORNERSTONE FAMILY HEALTH S.C. (NPI 1912066788) is a healthcare organization registered as a preferred provider organization in Lisle, Illinois and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through May 8, 2027 and lists Irene Thomas-thevatheril, President, as its authorized official.

NPPES Registry Identity

NPI1912066788
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameCORNERSTONE FAMILY HEALTH S.C.
Location Address3080 OGDEN AVE STE 204Lisle, IL 60532-1694
Mailing AddressPo Box 534Lisle, IL 60532-0534 · (630) 734-0580 · Fax (630) 734-0581
Phone(630) 734-0580
Fax(630) 734-0581
Organization SubpartNo
Authorized OfficialIrene Thomas-thevatherilPresident · (630) 734-0580
Enumeration DateDecember 7, 2006
Last NPPES UpdateMarch 1, 20212 updates tracked since enumeration
NPPES CertifiedMarch 1, 2021
✔ NPI 1912066788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in IL · 036105417
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
3080 OGDEN AVE STE 204, Lisle, IL 60532
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Other Identifiers 1

Medicaid036105417IL

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cornerstone Family Health S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Cornerstone Family Health S.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Matthew Pilditch, MD
Family Practice
NPI 1639158728
3080 OGDEN AVE STE 204
Lisle, IL 60532
(630) 734-0580
✔ PECOSSame address
Irene Thomas-Thevatheril, MD
Family Practice
NPI 1336190529
3080 OGDEN AVE STE 204
Lisle, IL 60532
(630) 734-0580
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1012377

Cornerstone Family Health Sc · Lisle, IL
Active · expires May 8, 2027
CLIA Number14D1012377
Laboratory TypePhysician Office
Certificate Effective DateMay 9, 2025
Certificate Expiration DateMay 8, 2027
Laboratory DirectorIrene Thomas Thevatheril
Laboratory Phone(630) 734-0580
Laboratory LocationCornerstone Family Health Sc3080 Ogden Ave, Suite 204, Lisle, IL 60532
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Cornerstone Family Health S.C.'s NPI number?

The NPI number for Cornerstone Family Health S.C. is 1912066788. It was assigned to this organization in the NPPES registry on December 7, 2006.

Where is Cornerstone Family Health S.C. located?

Cornerstone Family Health S.C. is located at 3080 Ogden Ave Ste 204, Lisle, IL 60532. The listed phone number is (630) 734-0580.

What is Cornerstone Family Health S.C.'s specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Is Cornerstone Family Health S.C. enrolled in Medicare?

Yes. Cornerstone Family Health S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cornerstone Family Health S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Cornerstone Family Health S.C.. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cornerstone Family Health S.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1012377) is associated with this NPI, valid through May 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cornerstone Family Health S.C. was last updated on March 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.