Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jelle Philip Jacob Van der List, MDPHD

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1013618651

Dr. Jelle Philip Jacob Van der List, MDPHD is a Sports Medicine in Columbus, Ohio. Qualified in 2015, 11 years ago. Practices with Osu Internal Medicine LLC, a 1,145-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
11
Licensed in
OH
In the registry since
2023

Practice location Address checks out

2835 Fred Taylor Dr Fl 2
Columbus, OH 43202-1552
Phone: (614) 293-3600
Fax: (614) 293-2910
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 35.153307 (OH)

Record details

NPI number1013618651
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedMarch 10, 2023
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Also practisesORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Osu Internal Medicine Llc — 1145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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