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DR. JELLE PHILIP JACOB VAN DER LIST MD PHD
NPI 1013618651
Orthopaedic Surgery - Sports Medicine in Columbus, OH

Active since March 10, 2023PECOS EnrolledAccepts Medicare Assignment
2835 FRED TAYLOR DR FL 2, COLUMBUS, OH 43202(614) 293-3600(614) 293-2910 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2024, Mar 10, 2023 (2 updates tracked since 2023).

About Dr. Jelle Philip Jacob Van Der List Md Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JELLE PHILIP JACOB VAN DER LIST MD PHD (NPI 1013618651) is an individual sports medicine provider in Columbus, Ohio, licensed in Ohio (35.153307) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1013618651
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. JELLE PHILIP JACOB VAN DER LISTCredential: MD PHD
Location Address2835 FRED TAYLOR DR FL 2Columbus, OH 43202-1552
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-3600
Phone(614) 293-3600
Fax(614) 293-2910
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 10, 2023
Last NPPES UpdateJuly 25, 20252 updates tracked since enumeration
NPPES CertifiedJuly 25, 2025
✔ NPI 1013618651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in OH · 35.153307
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
2835 FRED TAYLOR DR FL 2, Columbus, OH 43202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jelle Philip Jacob Van Der List Md Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890159818
PECOS Enrollment IDI20250804003752
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN MICHAEL ALBRECHTA MD
Family Medicine (Sports Medicine)
2835 FRED TAYLOR DR FL 2
COLUMBUS, OH 43202
Franklin County (614) 293-3600
DAVID C FLANIGAN MD
Orthopaedic Surgery (Sports Medicine)
2835 FRED TAYLOR DR FL 2
COLUMBUS, OH 43202
Franklin County (614) 293-3600
NICHOLAS J PETERS M.D.
Orthopaedic Surgery
2835 FRED TAYLOR DR FL 2
COLUMBUS, OH 43202
Franklin County (614) 293-3600
DR. MARCIA LYNN EDWARDS PSY.D.
Psychologist (Clinical)
2835 FRED TAYLOR DR FL 2
COLUMBUS, OH 43202
Franklin County (614) 293-3600
ROBERT A MAGNUSSEN MD
Orthopaedic Surgery (Sports Medicine)
2835 FRED TAYLOR DR FL 2
COLUMBUS, OH 43202
Franklin County (614) 293-3600
KYLE J MILLIRON PA-C
Physician Assistant
2835 FRED TAYLOR DR FL 2
COLUMBUS, OH 43202
Franklin County (614) 293-3600
ELIZABETH SAVIKA LIOTTA MBBS
Family Medicine (Sports Medicine)
2835 FRED TAYLOR DR FL 2
COLUMBUS, OH 43202
Franklin County (614) 293-3600
GRANT L JONES MD
Orthopaedic Surgery (Sports Medicine)
2835 FRED TAYLOR DR FL 2
COLUMBUS, OH 43202
Franklin County (614) 293-3600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jelle Van Der List's NPI number?

The NPI number for Jelle Van Der List is 1013618651. It was assigned to this individual provider in the NPPES registry on March 10, 2023.

Where is Jelle Van Der List located?

Jelle Van Der List practices at 2835 Fred Taylor Dr Fl 2, Columbus, OH 43202. The listed phone number is (614) 293-3600.

What is Jelle Van Der List's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Jelle Van Der List enrolled in Medicare?

Yes. Jelle Van Der List is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jelle Van Der List accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Jelle Van Der List as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jelle Van Der List affiliated with any hospitals?

According to CMS data, Jelle Van Der List is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Jelle Van Der List was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.