Individual provider Active NPI

Joe B Ventimiglia, M.D., PH.D.

  • Family Medicine Physician
  • North Richland Hills, TX
National Provider Identifier
1083647945
Registry record updated Jan 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K0231 Issued in TX
Practice address
6350 Davis Blvd # 200
North Richland Hills, TX 76180-4762
Phone
(972) 525-9900
NPI assigned
Jul 7, 2006
Last updated
Jan 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K0231 TX Primary

Addresses

Primary practice location

6350 Davis Blvd # 200
North Richland Hills, TX 76180-4762

Mailing address

1611 Pheasant LN
Southlake, TX 76092-3436
Phone (972) 983-8915

Other practice location 1

7165 Colleyville Blvd Ste 102
Colleyville, TX 76034-8010
Phone (817) 778-4048

Other identifiers 3

IdentifierTypeStateIssuer
133567109MedicaidTX
133567102MedicaidTX
K0231OtherTXSTATE MD LICENSE NO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joseph.ventimiglia.1@13711.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040202001024 TX Practitioner - Family PracticePractitioner - Hospice/Palliative Care 3274436563 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
Duke University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7165 Colleyville Blvd
Suite 102
Colleyville, TX 76034-8010
Phone (817) 778-4048

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions31
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Body Spirit & Soul Medical PLLC Family Medicine Current Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Apr 3, 2017 Accepting new patients
Total Health & Wellness Medical, PLLC Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Family Medicine CurrentSince Apr 3, 2017 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Advanced Practice Housecall Services PLLC CurrentSince Nov 26, 2012 Accepting new patients
Divine Mercy Hospice, PLLC Past Accepting new patients
Oliver Street 5.01(a) Inc. PastSince Sep 15, 2016 Accepting new patients
TJS Management, LLC Past Accepting new patients
Resk Healthcare LLC Family Medicine PastSince Sep 15, 2021 Accepting new patients
Community Housecall Systems Inc Past Accepting new patients

Locations

7165 Colleyville Blvd
Ste 102
Colleyville, TX 76034
Phone (817) 778-4048

8194 Walnut Hill Ln
Ste 100
Dallas, TX 75231
Phone (214) 645-3900

8210 Walnut Hill Ln
Ste 516
Dallas, TX 75231
Phone (214) 369-6411

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

3621 22nd St
Ste 400
Lubbock, TX 79410
Phone (806) 791-8484

3030 Waterview Pkwy
Richardson, TX 75080
Phone (972) 669-7070

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: drv@bodyspiritsoulmedical.kareodirect.com
  • Direct secure messaging: joseph.ventimiglia.1@13711.direct.athenahealth.com
  • Direct secure messaging: joseph.ventimiglia.1@30340.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Star City HospiceRichardson, TX, CCN 741697 Hospice Contracted Managing Employee Sep 15, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704585600000",
    "number": "1083647945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 PHEASANT LN",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760923436",
            "telephone_number": "972-983-8915",
            "fax_number": "817-761-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 DAVIS BLVD # 200",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761804762",
            "telephone_number": "972-525-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7165 Colleyville Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Colleyville",
            "state": "TX",
            "postal_code": "760348010",
            "country_code": "US",
            "telephone_number": "817-778-4048",
            "fax_number": "817-761-5365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENTIMIGLIA",
        "first_name": "JOE",
        "middle_name": "B",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-01-07",
        "certification_date": "2024-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K0231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133567109",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133567102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MD LICENSE NO",
            "identifier": "K0231",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joseph.ventimiglia.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "address_1": "6350 Davis Blvd # 200",
            "city": "North Richland Hills",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761804762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

Verify at the official NPI Registry.