JESSE M. EWALD M.D. – NPI #1104196591
Hospitalist

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Health Care Provider Taxonomy Code for Hospitalist

JESSE EWALD is a hospitalist located in NEWARK, OH. NPPES has assigned the NPI number 1104196591 to JESSE EWALD on January 03, 2012. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208M00000X from the Health Care Provider Taxonomy code set, which is classified as Hospitalist.

The NPI profile was last updated on Mar 07, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JESSE EWALD below.

NPI Profile for
JESSE M. EWALD

NPI Number
1104196591
Enumeration Date

(more than 14 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JESSE M. EWALD
Credentials
M.D.
Primary location
1320 W. MAIN ST
NEWARK, OH 43055
Phone: (220) 564-1791 Fax: (220) 564-1790
1 Other location(s):
1320 W Main St
Newark, OH 43055-1822
Phone: (220) 564-1790
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Mar 07, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208M00000X
- Hospitalist (Primary)		 OH 35.124055
207R00000X
- Internal Medicine		 OH 35.124055

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
DIRECT EMAIL ADDRESS
Content Type
OTHER
Affiliation
Y
Endpoint Location
1320 W MAIN ST,
NEWARK, OH 77025-1669

Additional Information

Education
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE - Graduated 2011
Accepts Medicare
This provider may accept Medicare Assignment. The Medicare-approved amount is the total the doctor or supplier can be paid. When a doctor accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsurance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
Affiliations
JESSE EWALD is affiliated with the following medical group(s):
  • HOSPITAL
    • LICKING MEMORIAL HOSPITAL
      1320 WEST MAIN STREET
      NEWARK, OH 43055

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.