Individual provider Active NPI

Edward John Oberle Jr., M.D.

  • Pediatric Rheumatology Physician
  • Columbus, OH
National Provider Identifier
1790927788
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rheumatology PhysicianTaxonomy code 2080P0216X
License
35125653 Issued in OH
Practice address
555 S 18TH St
Columbus, OH 43205-2654
Phone
(614) 722-6200
NPI assigned
Apr 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rheumatology Physician 2080P0216X 35125653 OH Primary

Addresses

Primary practice location

555 S 18TH St
Columbus, OH 43205-2654

Mailing address

555 S 18TH St
Columbus, OH 43205-2654
Phone (614) 722-2000

Other practice location 1

405 Butterfly Gardens Dr
Columbus, OH 43215-4985
Phone (614) 722-6200

Other practice location 2

5675 Venture Dr
Dublin, OH 43017-2159
Phone (614) 722-6200

Other identifiers 2

IdentifierTypeStateIssuer
0119328MedicaidOH
H330570OtherOHCGS - MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address edwardoberle@uhps.allscriptsdirect.net

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
I20150624000669 OH Practitioner - RheumatologyPractitioner - Pediatric Medicine 8022272566 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35125653OHMDPediatric Rheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nationwide Children'S Hospital CurrentSince Sep 25, 2024 Accepting new patients
Pediatric Academic Association, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Nationwide Children'S Hospital CurrentSince Sep 25, 2024 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Aug 10, 2018 Accepting new patients
Nationwide Children'S Hospital Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

Dept 781629
Detroit, MI 48278

11100 Euclid Ave
Cleveland Heights, OH 44106

Dept L289
Columbus, OH 43260

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

405 Butterfly Gardens Dr
Columbus, OH 43215
Phone (614) 722-4200

555 S 18th St
Columbus, OH 43205
Phone (614) 722-4554

555 S 18th St
Ste 4A
Columbus, OH 43205

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

5675 Venture Dr
Dublin, OH 43017
Phone (614) 355-9580

Interoperability endpoints

  • Direct secure messaging: eoberle626224@ehrdirect.uhhospitals.org

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": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1790927788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S 18TH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052654",
            "telephone_number": "614-722-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S 18TH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052654",
            "telephone_number": "614-722-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Butterfly Gardens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432154985",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5675 Venture Dr",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430172159",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBERLE",
        "first_name": "EDWARD",
        "middle_name": "JOHN",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-06",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0216X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": "OH",
            "license": "35125653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119328",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CGS - MEDICARE",
            "identifier": "H330570",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edwardoberle@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "11100 Euclid Ave. University Hospitals, Rainbow Babies",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.