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DR. ANTHONY RUSSELL THEILE D.O.
NPI 1689700791
Pediatrics - Neonatal-Perinatal Medicine in Columbus, OH

Active since February 25, 2007PECOS Enrolled
111 S GRANT AVE, COLUMBUS, OH 43215(614) 566-9000 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 19, 2025, Apr 9, 2025, Jul 20, 2023 and 4 more (7 updates tracked since 2021).

About Dr. Anthony Russell Theile D.o. NPPES

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

DR. ANTHONY RUSSELL THEILE D.O. (NPI 1689700791) is an individual neonatal-perinatal medicine provider in Columbus, Ohio, licensed in Ohio (34.010115) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1689700791
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. ANTHONY RUSSELL THEILECredential: D.O.
Location Address111 S GRANT AVEColumbus, OH 43215-4701
Mailing Address285 E State St, Suite 520Columbus, OH 43215-4354 · (614) 566-9683 · Fax (614) 566-8046
Phone(614) 566-9000
Sole ProprietorNo
Enumeration DateFebruary 25, 2007
Last NPPES UpdateNovember 19, 20257 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1689700791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in OH · 34.010115
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
111 S GRANT AVE, Columbus, OH 43215
Open in Google Maps ↗

Secondary Practice Locations 7

Location 11000 McKinley Park DrMarion, OH 43302-6399 · Phone (740) 383-8400
Location 25300 N Meadows DrGrove City, OH 43123-2546 · Phone (614) 663-5000
Location 31010 Refugee RdPickerington, OH 43147-9653 · Phone (614) 788-4000
Location 46001 E Broad StColumbus, OH 43213-1502 · Phone (614) 234-6000
Location 5600 N Pickaway StCircleville, OH 43113-1447 · Phone (740) 474-2126
Location 6700 Childrens DrColumbus, OH 43205-2664 · Phone (614) 722-2000
Location 75100 W Broad StColumbus, OH 43228-1607 · Phone (614) 544-1000

Other Identifiers 1

Medicaid0326137OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Anthony Russell Theile D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Anthony Theile reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatric Academic Association, Inc.
0.9 mi
Pediatrics
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 1,246 clinicians in this Medicare group
NPI 1063419943 (614) 722-4579

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. PRISCA MAYNARD M.D.
Internal Medicine
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-8883
AMANDA NICOLE NEWBURGER
Nurse Practitioner (Neonatal)
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-9221
LINDA M BERTOLINI CRNA
Anesthesiology
111 S GRANT AVE, 3RD FLOOR
COLUMBUS, OH 43215
Franklin County (614) 566-8808
KARIE L MCLAUGHLIN CNP
Nurse Practitioner
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-8883
DR. SYEDA MARIAM SHAHID MD, MPH
Student in an Organized Health Care Education/Training Program
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-9041
PARIS DAE KNIPP PA-C
Physician Assistant
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (740) 417-5607
DR. MARK BECKER M.D.
Radiology (Radiation Oncology)
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-9506
ANUPAMA SUNDARAM M.D.
Pediatrics (Neonatal-Perinatal Medicine)
111 S GRANT AVE
COLUMBUS, OH 43215
Franklin County (614) 566-9000

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 Anthony Theile's NPI number?

The NPI number for Anthony Theile is 1689700791. It was assigned to this individual provider in the NPPES registry on February 25, 2007.

Where is Anthony Theile located?

Anthony Theile practices at 111 S Grant Ave, Columbus, OH 43215. The listed phone number is (614) 566-9000.

What is Anthony Theile's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Anthony Theile enrolled in Medicare?

Yes. Anthony Theile is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Anthony Theile's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Theile reassigns Medicare benefits to Pediatric Academic Association, Inc. (Columbus, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anthony Theile's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Theile accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, Molina Healthcare and UnitedHealthcare list Anthony Theile 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.

When was this NPI record last updated?

The NPPES record for Anthony Theile was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.