Organization Active NPI

Denison Medical Group LLC

  • Hospitalist Physician
  • Dublin, OH
National Provider Identifier
1144650953
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
DENISON MEDICAL GROUP LLC
Practice address
3805 Emerald Pkwy
Dublin, OH 43016-3317
Phone
(614) 907-3065
NPI assigned
Nov 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Authorized official

Name
Elio Ventresca, M.D.NPI 1811904139
Title
President
Phone
(614) 907-3065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208M00000X 35-058803 OH
Hospitalist PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208M00000X OH Primary

Addresses

Primary practice location

3805 Emerald Pkwy
Dublin, OH 43016-3317

Mailing address

30 Pickett PL
New Albany, OH 43054-8415
Phone (614) 907-3065

Other practice location 1

1087 Dennison Ave
Columbus, OH 43201-3201
Phone (614) 907-3065

Other identifiers 1

IdentifierTypeStateIssuer
0097387MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140124001855 OH Part B Supplier - Clinic/Group Practice 7315175197 Receives reassigned benefits from 1 practitioner
Practice locations: Dublin, OH; Columbus, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1144650953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PICKETT PL",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548415",
            "telephone_number": "614-907-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 EMERALD PKWY",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430163317",
            "telephone_number": "614-907-3065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1087 Dennison Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432013201",
            "country_code": "US",
            "telephone_number": "614-907-3065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DENISON MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "VENTRESCA",
        "authorized_official_first_name": "ELIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-907-3065",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35-058803",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0097387",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.