Individual provider Active NPI

Julio G Ventura, MD

  • Neurology Physician
  • Middleburg, FL
National Provider Identifier
1164659546
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME114633 Issued in FL
Practice address
1658 St Vincents Way Ste 310
Middleburg, FL 32068-8459
Phone
(904) 602-4450
Fax
(904) 602-4449
NPI assigned
Jun 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME114633 FL Primary

Addresses

Primary practice location

1658 St Vincents Way Ste 310
Middleburg, FL 32068-8459

Mailing address

4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623

Other practice location 1

11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone (239) 208-2206

Other identifiers 1

IdentifierTypeStateIssuer
016457500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AZ, NY, OH, ND, NH, GA7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20130723000638 FL Practitioner - Neurology 2163662495 Reassigns benefits to 8 organizations
I20230628004119 AZ Practitioner - Neurology 2163662495 Reassigns benefits to 1 organization
I20231101002126 NY Practitioner - Neurology 2163662495 Reassigns benefits to 5 organizations
I20250711001642 OH Practitioner - Neurology 2163662495 Reassigns benefits to 1 organization
I20250728002936 ND Practitioner - Neurology 2163662495 Reassigns benefits to 1 organization
I20250915004163 NH Practitioner - Neurology 2163662495 Reassigns benefits to 1 organization
I20260507003704 GA Practitioner - Neurology 2163662495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Altru Health SystemGroup PAC ID 1355251604, 675 clinicians
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians
Virtual Neurology Texas PLLCGroup PAC ID 3779910047, 151 clinicians
Virtual Neurology LLCGroup PAC ID 9830425321, 161 clinicians
Summit Healthcare AssociationGroup PAC ID 3779568647, 78 clinicians

Practice addresses (Care Compare)

1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone (701) 780-5000

1266 Hwy 515 S
Jasper, GA 30143-4872
Phone (706) 253-6985

1380 S Columbia Rd
Grand Forks, ND 58201-4059
Phone (701) 795-2000

147 Ellsworth Cir
Saint Johns, FL 32259-7229
Phone (239) 208-2212

2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (928) 537-4375

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
91362SCMDInternal Medicine Physician
ME114633FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center Current Accepting new patients
Altru Health System Family Medicine CurrentSince Jun 26, 2025 Accepting new patients
Kettering Independent Medical Group Inc Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
St. Catherine of Siena Medical Center CurrentSince Oct 24, 2023 Accepting new patients
Virtual Neurology, LLC Neurology CurrentSince Jun 1, 2023 Accepting new patients
Altru Health System CurrentSince Jun 26, 2025 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Aug 26, 2025 Accepting new patients
Telespecialists North Carolina Neurology Services PLLC Neurology CurrentSince Aug 9, 2025 Accepting new patients
Virtual Neurology Kansas, LLC Neurology CurrentSince Nov 9, 2025 Accepting new patients
Mercy Medical Center CurrentSince Oct 24, 2023 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Oct 1, 2017 Accepting new patients
St Joseph Hospital of Nashua NH Family Medicine CurrentSince Aug 26, 2025 Accepting new patients
Upson Medical Associates LLC Family Medicine CurrentSince Nov 30, 2025 Accepting new patients
St. Joseph Hospital CurrentSince Oct 24, 2023 Accepting new patients
Good Samaritan Hospital Medical Center Current Accepting new patients
Virtual Neurology PC Neurology CurrentSince Aug 18, 2025 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Oct 1, 2017 Accepting new patients
Summit Healthcare Association CurrentSince Aug 1, 2023 Accepting new patients
DCHD Health Care Professionals LLC CurrentSince Mar 3, 2025 Accepting new patients
St Charles Hospital Corp CurrentSince Oct 24, 2023 Accepting new patients
Summit Healthcare Association Neurology CurrentSince Aug 1, 2023 Accepting new patients
Good Samaritan Hospital Medical CurrentSince Oct 24, 2023 Accepting new patients
Benefis Hospitals Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Virtualhealthconnect LLC Neurology Past Accepting new patients

Locations

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

9110 College Pointe Ct
Fort Myers, FL 33919
Phone (239) 208-2206

11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206

11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

1658 St Vincents Way
Ste 310
Middleburg, FL 32068
Phone (904) 308-2006

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: julio.ventura.1@8967.direct.athenahealth.com

Organizations & group practices 27

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

View all 27

Hospital & facility affiliations 6

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": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1164659546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 ST VINCENTS WAY STE 310",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320688459",
            "telephone_number": "904-602-4450",
            "fax_number": "904-602-4449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11215 Metro Pkwy Ste 1",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339661206",
            "country_code": "US",
            "telephone_number": "239-208-2206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENTURA",
        "first_name": "JULIO",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME114633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016457500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg, FL

Sources for this page

Verify at the official NPI Registry.