NPIMap

Individual provider Active NPI

Lyle Terrance Olson, M.D.

  • Internal Medicine Physician
  • Columbus, OH
National Provider Identifier
1053373217
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-069178 Issued in OH
Practice address
3525 Olentangy River Rd Ste 4330
Columbus, OH 43214-3937
Phone
(614) 255-6900
Fax
(614) 255-6901
NPI assigned
Apr 4, 2006
Last updated
Mar 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-069178 OH Primary

Addresses

Primary practice location

3525 Olentangy River Rd Ste 4330
Columbus, OH 43214-3937

Mailing address

3525 Olentangy River Rd
Suite 4330
Columbus, OH 43214-3937
Phone (614) 255-6900

Other identifiers 1

IdentifierTypeStateIssuer
0225312MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090224000168 OH Practitioner - Internal Medicine 0244288686 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pai Participant 1 LLCGroup PAC ID 8123351954, 174 clinicians
Central Ohio Hospitalists, IncGroup PAC ID 7810985686, 194 clinicians

Practice addresses (Care Compare)

230 Cherry St
Chillicothe, OH 45601-2301
Phone (740) 773-6470

3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-5000

730 Millcrest Dr
Marysville, OH 43040-1833
Phone (937) 642-1026

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-069178OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant 1 LLC CurrentSince Jul 23, 2022 Accepting new patients
Central Ohio Hospitalists, Inc CurrentSince Mar 10, 2011 Accepting new patients
Delaware Opco, LLC Past Accepting new patients
FHS Gables, Inc. Past Accepting new patients
Marysville Gardens Rehabilitation and Health Care LLC Past Accepting new patients
Edgewood Manor of Westerville LLC Past Accepting new patients
Highbanks Care Center, LLC Past Accepting new patients
Westerville Internal Medicine LLC Internal Medicine Past Accepting new patients
Milcrest Healthcare Inc Past Accepting new patients
Country Club Retirement Center V LLC Past Accepting new patients
Cardinal Delaware, Inc. Past Accepting new patients
Dublin Convalarium Operating Company, LLC Past Accepting new patients

Locations (25 of 33)

6725 Thrush Dr
Canal Wnchstr, OH 43110
Phone (614) 834-2500

4531 Columbus Rd
Centerburg, OH 43011
Phone (740) 478-9510

230 Cherry St
Chillicothe, OH 45601
Phone (740) 773-6470

1087 Dennison Ave
Fl 4
Columbus, OH 43201
Phone (614) 299-9672

111 Lazelle Rd
Columbus, OH 43235
Phone (614) 888-2008

1151 College Ave
Columbus, OH 43209
Phone (614) 231-2200

1850 Crown Park Ct
Columbus, OH 43235
Phone (614) 459-7293

2770 Clime Rd
Columbus, OH 43223
Phone (614) 276-8222

2841 E Dublin Granville Rd
Columbus, OH 43231
Phone (614) 592-0240

2870 Snouffer Rd
Columbus, OH 43235
Phone (614) 339-0459

3000 Bethel Rd
Columbus, OH 43220
Phone (614) 889-6320

3525 Olentangy River Rd
Ste 4330
Columbus, OH 43214
Phone (614) 255-6930

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

3710 Olentangy River Rd
Columbus, OH 43214
Phone (614) 457-1100

5700 Karl Rd
Columbus, OH 43229
Phone (614) 846-5420

700 Jasonway Ave
Columbus, OH 43214
Phone (418) 885-0200

2270 Warrensburg Rd
Delaware, OH 43015
Phone (740) 272-7150

478 S Sandusky St
Delaware, OH 43015
Phone (740) 272-7150

6430 Post Rd
Dublin, OH 43016
Phone (614) 761-1188

167 N Stygler Rd
Gahanna, OH 43230
Phone (614) 475-8778

5151 N Hamilton Rd
Gahanna, OH 43230
Phone (614) 337-1066

3399 Mill Run Dr
Hilliard, OH 43026
Phone (614) 527-3000

4660 Trueman Blvd
Hilliard, OH 43026
Phone (614) 771-4400

390 Gables Dr
Marysville, OH 43040
Phone (937) 578-4050

730 Millcrest Dr
Marysville, OH 43040
Phone (937) 642-1026

Interoperability endpoints

  • Direct secure messaging: lyle.olson.1@16701.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Highbanks Care CenterColumbus, OH, CCN 366303 Skilled nursing facility Adp of the SNF Jun 1, 2018
Wintersong VillageDelaware, OH, CCN 366026 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2024
Jan 1, 2024
Milcrest Nursing CenterMarysville, OH, CCN 365605 Skilled nursing facility W-2 Managing Employee (100%)
Adp of the SNF		 Jan 1, 2024
Dec 31, 2024
The Gables of Marysville Health and RehabilitationMarysville, OH, CCN 365864 Skilled nursing facility Adp of the SNF Nov 20, 2024

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1053373217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 OLENTANGY RIVER RD",
            "address_2": "SUITE 4330",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143937",
            "telephone_number": "614-255-6900",
            "fax_number": "614-255-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 OLENTANGY RIVER RD STE 4330",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143937",
            "telephone_number": "614-255-6900",
            "fax_number": "614-255-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "LYLE",
        "middle_name": "TERRANCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-069178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0225312",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.