ETHAN M SCHIMMOELLER MD
NPI 1447830807
Student in an Organized Health Care Education/Training Program in Columbus, OH

Q: What is Ethan Schimmoeller's NPI number?

The NPI number for Ethan Schimmoeller is 1447830807. It was assigned to this individual provider in the NPPES registry on April 10, 2021.

Q: What is Ethan Schimmoeller's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 10, 2021PECOS EnrolledAccepts Medicare Assignment

800 MCCONNELL DR, COLUMBUS, OH 43214(614) 533-6297 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 30, 2025, Apr 10, 2021 (2 updates tracked since 2021).

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About Ethan M Schimmoeller Md NPPES

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

ETHAN M SCHIMMOELLER MD (NPI 1447830807) is an individual student in an organized health care education/training program in Columbus, Ohio and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and maintains a secondary practice location in South Bend.

NPPES Registry Identity

NPI1447830807

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameETHAN M SCHIMMOELLERCredential: MD

Location Address800 MCCONNELL DRColumbus, OH 43214-3463

Mailing AddressPo Box 7527Dublin, OH 43017-0727

Phone(614) 533-6297

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2021

Enumeration DateApril 10, 2021

Last NPPES UpdateMay 30, 20252 updates tracked since enumeration

NPPES CertifiedMay 30, 2025

✔ NPI 1447830807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

800 MCCONNELL DR, Columbus, OH 43214

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Secondary Practice Location 1

Location 1714 N Michigan StSouth Bend, IN 46601-1035 · Phone (574) 647-7477

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.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

Ethan M Schimmoeller Md 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 ID9739589169

PECOS Enrollment IDI20250806003386

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.

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360006

Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County

Emergency services Birthing friendly

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Other Providers at the Same Location NPPES 20

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

KRISTEN M STAUFFER CNP

Nurse Practitioner (Adult Health)