HERMON H GHEBREMEDHIN
NPI 1588344923
Physician Assistant - Medical in Columbus, OH

Q: What is Hermon Ghebremedhin's NPI number?

The NPI number for Hermon Ghebremedhin is 1588344923. It was assigned to this individual provider in the NPPES registry on July 20, 2023.

Q: What is Hermon Ghebremedhin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since July 20, 2023PECOS EnrolledAccepts Medicare Assignment

4832 W BROAD ST, COLUMBUS, OH 43228(614) 465-7457 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2025, Jul 20, 2023 (2 updates tracked since 2023).

On this page

About Hermon H Ghebremedhin NPPES

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

HERMON H GHEBREMEDHIN (NPI 1588344923) is an individual medical provider in Columbus, Ohio, licensed in Ohio (50.008142RX) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1588344923

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameHERMON H GHEBREMEDHIN

Location Address4832 W BROAD STColumbus, OH 43228-1971

Mailing Address754 Tatra CtReynoldsburg, OH 43068-4755 · (614) 743-5699

Phone(614) 465-7457

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 20, 2023

Last NPPES UpdateNovember 18, 20252 updates tracked since enumeration

NPPES CertifiedNovember 18, 2025

✔ NPI 1588344923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in OH · 50.008142RX

Also ListedPhysician AssistantTaxonomy 363A00000X · License C0010201 (MD)

4832 W BROAD ST, Columbus, OH 43228

Open in Google Maps ↗

Accepted Insurance

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

Hermon H Ghebremedhin 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 ID4880058957

PECOS Enrollment IDI20230908001053

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 3

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

Holy Cross Hospital

Acute Care Hospitals · Silver Spring, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number210004

Location1500 Forest Glen RoadSilver Spring, MD 20910 · Montgomery County

Birthing friendly

Holy Cross Germantown Hospital

Acute Care Hospitals · Germantown, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210065

Location19801 Observation DriveGermantown, MD 20876 · Montgomery County

Emergency services Birthing friendly

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

Other Providers at the Same Location NPPES

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

DONNA J ILIEVSKI CNP

Nurse Practitioner (Family)

4832 W BROAD ST
COLUMBUS, OH 43228

Franklin County (614) 465-7457

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 Hermon Ghebremedhin's NPI number?

The NPI number for Hermon Ghebremedhin is 1588344923. It was assigned to this individual provider in the NPPES registry on July 20, 2023.

Where is Hermon Ghebremedhin located?

Hermon Ghebremedhin practices at 4832 W Broad St, Columbus, OH 43228. The listed phone number is (614) 465-7457.

What is Hermon Ghebremedhin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Hermon Ghebremedhin enrolled in Medicare?

Yes. Hermon Ghebremedhin 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 Hermon Ghebremedhin accept?

Health plans from CareSource, MedMutual and Oscar Health Insurance list Hermon Ghebremedhin 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 Hermon Ghebremedhin affiliated with any hospitals?

According to CMS data, Hermon Ghebremedhin is affiliated with Holy Cross Hospital, Holy Cross Germantown Hospital and Riverside Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Hermon Ghebremedhin was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.