NPIMap

Individual provider Active NPI

Eric Victor Jelinger, MD

  • Diagnostic Radiology Physician
  • Lima, OH
National Provider Identifier
1780647560
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35061496 Issued in OH
Practice address
850 Tiqua Trail
Lima, OH 45805-4705
Phone
(419) 999-5353
Fax
(866) 898-2159
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35061496 OH Primary

Addresses

Primary practice location

850 Tiqua Trail
Lima, OH 45805-4705

Mailing address

1250 S Washington St
Van Wert, OH 45891-2551
Phone (419) 232-5279

Other practice location 1

1250 S Washington St
Van Wert, OH 45891-2551
Phone (419) 238-2390

Other identifiers 5

IdentifierTypeStateIssuer
000000028205OtherOHANTHEM
0855632MedicaidOH
JE0717158OtherOHMEDICARE ID FSH RAD GRP
JE0717158OtherOHMEDICARE OHIO ID
300071733OtherOHRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ejelinger1039125@direct.ohiohealth.com OhioHealth Physician Group, Inc.

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
I20040203000657 OH Practitioner - Diagnostic Radiology 1153214309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Toledo College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

1250 S Washington St
Van Wert, OH 45891-2551
Phone (419) 238-2390

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation Current Accepting new patients
Van Wert Medical Services, LTD. CurrentSince Jul 1, 2016 Accepting new patients
Ohiohealth Corporation CurrentSince Jan 6, 2025 Accepting new patients
Ohiohealth Corporation CurrentSince Jan 6, 2025 Accepting new patients
Van Wert Medical Services, LTD. CurrentSince Jul 1, 2016 Accepting new patients
West Ohio X-Ray Diagnostic Radiology Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Franklin & Seidelmann Inc Diagnostic Radiology Past Accepting new patients
JTDM Family Practice LLC Past Accepting new patients
X-Ray, Inc. Diagnostic Radiology Past Accepting new patients
FSH Radiology Inc Diagnostic Radiology Past Accepting new patients

Locations

205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

921 E Franklin St
Kenton, OH 43326
Phone (419) 673-0761

1035 W Wayne St
Paulding, OH 45879
Phone (419) 399-4080

200 Saint Clair Ave
Saint Marys, OH 45885
Phone (419) 394-3387

1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077

Organizations & group practices 11

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 5

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1780647560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S WASHINGTON ST",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912551",
            "telephone_number": "419-232-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 TIQUA TRAIL",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458054705",
            "telephone_number": "419-999-5353",
            "fax_number": "866-898-2159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Van Wert",
            "state": "OH",
            "postal_code": "458912551",
            "country_code": "US",
            "telephone_number": "419-238-2390",
            "fax_number": "419-238-8652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JELINGER",
        "first_name": "ERIC",
        "middle_name": "VICTOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35061496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000028205",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0855632",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID FSH RAD GRP",
            "identifier": "JE0717158",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OHIO ID",
            "identifier": "JE0717158",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300071733",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ejelinger1039125@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group, Inc.",
            "address_1": "1250 S Washington St",
            "city": "Van Wert",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458912551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.