Active NPI
Hermon H Ghebremedhin
- Medical Physician Assistant
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 50.008142RX
- Practice address
- 4832 W Broad St
Columbus, OH 43228-1971 - Phone
- (614) 465-7457
- NPI assigned
- Jul 20, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 50.008142RX | OH | Primary |
| Physician Assistant | 363A00000X | C0010201 | MD |
Addresses
Primary practice location
4832 W Broad St
Columbus, OH 43228-1971
Mailing address
754 Tatra CT
Reynoldsburg, OH 43068-4755
Phone (614) 743-5699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3535 Olentangy River Rd
Columbus, OH 43214-3908
3840 Main St
Hilliard, OH 43026-1450
Phone (614) 319-3030
393 E Town St
Columbus, OH 43215-4799
Hospital & facility affiliations
- Holy Cross Hospital
- Holy Cross Germantown Hospital
- Riverside Methodist Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0010201 | MD | MD | Physician Assistant |
| 50.008142RX | OH | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Physician Assistant | Current | Accepting new patients |
| Cep America LLC | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Incare Health Solutions, LLC | Physician Assistant | Current | Accepting new patients |
| Cep America LLC | Current | Accepting new patients | |
| Md1Stop Primary Care | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785
65 N Waggoner Rd
Blacklick, OH 43004
Phone (614) 604-8805
4135 Tuscarawas St W
Canton, OH 44708
Phone (330) 546-0913
4832 W Broad St
Columbus, OH 43228
Phone (614) 465-7457
175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
1085 Polaris Pkwy
Columbus, OH 43240
Phone (614) 505-0021
7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002
2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- hghebremedhin4722853@direct.trinity-health.org
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Marion, OH
- NPI 1235422403
-
- Family Medicine Physician
- Columbus, OH
- NPI 1578545273
-
- Emergency Medicine Physician
- Washington, DC
- NPI 1073914396
-
- Urgent Care Clinic/Center
- Columbus, OH
- NPI 1003304668
-
- Primary Care Nurse Practitioner
- Ontario, OH
- NPI 1639621824
Physician Assistant
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Emergency Medicine Physician
- Silver Spring, MD
- NPI 1851286041
-
- Primary Care Clinic/Center
- Columbus, OH
- NPI 1467940023
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1467484972
-
- General Acute Care Hospital
- Silver Spring, MD
- NPI 1669417838
-
- General Acute Care Hospital
- Germantown, MD
- NPI 1245655638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763424000000",
"number": "1588344923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "754 TATRA CT",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430684755",
"telephone_number": "614-743-5699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4832 W BROAD ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432281971",
"telephone_number": "614-465-7457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHEBREMEDHIN",
"first_name": "HERMON",
"middle_name": "H",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-20",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OH",
"license": "50.008142RX",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0010201",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.