Individual provider Active NPI

Mikael P Schilb, DO

  • Family Medicine Physician
  • Canal Winchester, OH
National Provider Identifier
1104105444
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.012165 Issued in OH
Practice address
6201 Gender Rd
Canal Winchester, OH 43110-2007
Phone
(614) 834-8042
Fax
(614) 837-8035
NPI assigned
Aug 4, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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 34.012165 OH Primary

Addresses

Primary practice location

6201 Gender Rd
Canal Winchester, OH 43110-2007

Mailing address

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

Other identifiers 4

IdentifierTypeStateIssuer
34.012165OtherOHOH LICENSE
0177087MedicaidOH
5101019610OtherMIMEDICAL LICENSE NUMBER
58.005267OtherOHOHIO TRAINING CERTIFICATE CREDENTIAL

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
I20160712002624 OH Practitioner - Family Practice 8527386986 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Ohio Primary Care Physicians, Inc.Group PAC ID 2769383785, 487 clinicians

Practice addresses (Care Compare)

1800 Granville Pike
Lancaster, OH 43130-1043
Phone (740) 785-4678

Hospital & facility affiliations

  • Caretenders Vna Home health agency, Lancaster, OH, CCN 367137
  • Fairfield Medical Center Hospital, Lancaster, OH, CCN 360072
  • Diley Ridge Medical Center Hospital, Canal Winchester, OH, CCN 360358
  • Grant Medical Center Hospital, Columbus, OH, CCN 360017
  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.012165OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Fairfield Community Health Center CurrentSince Nov 11, 2018 Accepting new patients
Central Ohio Primary Care Physicians, Inc. Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Fairfield Community Health Center Current Accepting new patients

Locations

6201 Gender Rd
Canal Winchester, OH 43110
Phone (614) 585-9900

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

1155 E Main St
Lancaster, OH 43130
Phone (740) 277-6043

216 Trace Dr
Lancaster, OH 43130
Phone (740) 277-6043

220 E Walnut St
Lancaster, OH 43130
Phone (740) 277-6043

1800 Granville Pike
Lancaster, OH 43130
Phone (740) 785-4678

207 S Broad St
Lancaster, OH 43130

655 Africa Rd
Westerville, OH 43082

Interoperability endpoints

  • Direct secure messaging: mschilb18882@copcp.medicity.net
  • Direct secure messaging: mschilbdo@direct.meditouchehr.com

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1104105444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GENDER RD",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431102007",
            "telephone_number": "614-834-8042",
            "fax_number": "614-837-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 GENDER RD",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431102007",
            "telephone_number": "614-834-8042",
            "fax_number": "614-837-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILB",
        "first_name": "MIKAEL",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-04",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.012165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH LICENSE",
            "identifier": "34.012165",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0177087",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "5101019610",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO TRAINING CERTIFICATE CREDENTIAL",
            "identifier": "58.005267",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Winchester, OH

Sources for this page

Verify at the official NPI Registry.