ETHAN CORNWELL MD
NPI 1972358323
Student in an Organized Health Care Education/Training Program in Indianapolis, IN
About Ethan Cornwell Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN CORNWELL MD (NPI 1972358323) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ethan Cornwell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
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 Ethan Cornwell's NPI number?
The NPI number for Ethan Cornwell is 1972358323. It was assigned to this individual provider in the NPPES registry on April 19, 2024.
Where is Ethan Cornwell located?
Ethan Cornwell practices at 1120 W Michigan St, Indianapolis, IN 46202. The listed phone number is (317) 278-2689.
What is Ethan Cornwell's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Ethan Cornwell enrolled in Medicare?
Yes. Ethan Cornwell is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Ethan Cornwell was last updated on April 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ethan Cornwell, MD · NPI 1972358323
Student in an Organized Health Care Education/Training Program provider in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since April 19, 2024.
## Identity
- **NPI:** 1972358323 (Entity type: Individual)
- **Enumerated:** April 19, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1120 W MICHIGAN ST, Indianapolis, IN 46202-5209
- **Phone:** (317) 278-2689
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1972358323) · Data from the CMS NPPES public registry.