Individual provider Active NPI

Jill A Schellhase, M.D.

  • Family Medicine Physician
  • Canal Winchester, OH
National Provider Identifier
1013910298
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.059546 Issued in OH
Practice address
11925 Lithopolis Rd NW
Canal Winchester, OH 43110-9585
Phone
(614) 837-6363
Fax
(614) 837-0425
NPI assigned
May 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.059546 OH Primary

Addresses

Primary practice location

11925 Lithopolis Rd NW
Canal Winchester, OH 43110-9585

Mailing address

11925 Lithopolis Rd NW
Canal Winchester, OH 43110-9585
Phone (614) 837-6363

Other identifiers 2

IdentifierTypeStateIssuer
0809781MedicaidOH
CD3781OtherOHMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080730000673 OH Practitioner - Family Practice 3072687672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Ohio Primary Care Physicians, Inc.Group PAC ID 2769383785, 487 clinicians

Practice addresses (Care Compare)

101 Commerce Park Dr
Westerville, OH 43082-8349
Phone (614) 898-3006

110 Polaris Pkwy
Suite 250
Westerville, OH 43082-8074
Phone (614) 865-4800

11925 Lithopolis Rd NW
Canal Winchester, OH 43110-9535
Phone (614) 837-6363

3555 Olentangy River Rd
Suite 1080
Columbus, OH 43214-3984
Phone (614) 268-8164

400 Altair Pkwy
Westerville, OH 43082-7653

400 Altair Pkwy
Westerville, OH 43082-7654

444 N Cleveland Ave
Suite 200
Westerville, OH 43082-8389
Phone (614) 899-2700

450 Alkyre Run
Suite 380
Westerville, OH 43082-6076
Phone (614) 899-9188

460 Polaris Pkwy
Suite 100
Westerville, OH 43082-6090
Phone (614) 895-3344

460 Polaris Pkwy
Suite 150
Westerville, OH 43082-6092
Phone (614) 259-0906

460 Polaris Pkwy
Suite 200
Westerville, OH 43082-8213
Phone (614) 865-3125

465 N Cleveland Ave
Suite 200
Westerville, OH 43082-8642
Phone (614) 876-7330

4825 Knightsbridge Blvd
Columbus, OH 43214-4325
Phone (614) 451-9612

4830 Knightsbridge Blvd
Suite a
Columbus, OH 43214-2300
Phone (614) 451-2174

4845 Knightsbridge Blvd
Suite 210
Columbus, OH 43214-2466
Phone (614) 273-0480

4845 Knightsbridge Blvd
Suite 220
Columbus, OH 43214-2463
Phone (614) 299-5838

4885 Olentangy River Rd
Columbus, OH 43214-1952
Phone (614) 326-5665

4885 Olentangy River Rd
Columbus, OH 43214-1953

4885 Olentangy River Rd
Columbus, OH 43214-1993

4895 Olentangy River Rd
Columbus, OH 43214-1184

4895 Olentangy River Rd
Columbus, OH 43214-1185

540 N Cleveland Ave
Suite 200
Westerville, OH 43082-9845
Phone (614) 891-9505

540 N Cleveland Ave
Suite 250
Westerville, OH 43082-9846
Phone (614) 891-4705

6201 Gender Rd
Canal Winchester, OH 43110-2007
Phone (614) 834-8042

625 Africa Rd
Westerville, OH 43082-0002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Dec 31, 2016 Accepting new patients
Central Ohio Primary Care Physicians, Inc. Family Medicine CurrentSince Dec 31, 2016 Accepting new patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Fairfield Healthcare Professionals, Inc. Family Medicine Past Accepting new patients
Fairfield Healthcare Professionals Inc Past Accepting new patients
Fairfield Healthcare Professionals, Inc. Past Accepting new patients

Locations

11925 Lithopolis Rd NW
Canal Wnchstr, OH 43110
Phone (614) 759-6626

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

1781 Countryside Dr
Lancaster, OH 43130
Phone (740) 687-8377

655 Africa Rd
Westerville, OH 43082

Interoperability endpoints

  • Direct secure messaging: jschellhase18844@copcp.medicity.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1013910298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11925 LITHOPOLIS RD NW",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431109585",
            "telephone_number": "614-837-6363",
            "fax_number": "614-837-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11925 LITHOPOLIS RD NW",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431109585",
            "telephone_number": "614-837-6363",
            "fax_number": "614-837-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHELLHASE",
        "first_name": "JILL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.059546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0809781",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CD3781",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Winchester, OH

Sources for this page

Verify at the official NPI Registry.