Individual provider Active NPI

Carlos Jose Ventura, M.D.

  • Internal Medicine Physician
  • Kettering, OH
National Provider Identifier
1174842884
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.145436 Issued in OH
Practice address
1745 E Stroop Rd
Kettering, OH 45429-5039
Phone
(937) 281-6342
Fax
(937) 281-6342
NPI assigned
May 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.145436 OH Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 47262 AZ
Internal Medicine Physician 207R00000X 47262 AZ

Addresses

Primary practice location

1745 E Stroop Rd
Kettering, OH 45429-5039

Mailing address

1 Prestige PL Ste 550
Miamisburg, OH 45342-6115
Phone (937) 281-6340

Other practice location 1

20751 W Market St
Buckeye, AZ 85396-7893
Phone (623) 463-5000

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Direct Messaging Address cventura801646@direct.ketteringhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, OH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20130808000176 AZ Practitioner - Internal Medicine 4082856745 Reassigns benefits to 1 organization
I20220825004309 OH Practitioner - Internal Medicine 4082856745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Physicians IncGroup PAC ID 0840104360, 314 clinicians

Practice addresses (Care Compare)

101 E Alex Bell Rd
Suite 190
Dayton, OH 45459-2752
Phone (937) 425-4030

1625 S Alex Rd
West Carrollton, OH 45449-5404
Phone (937) 865-0534

1745 E Stroop Rd
Kettering, OH 45429-5039
Phone (937) 381-6340

Hospital & facility affiliations

  • Kettering Homecare Home health agency, Kettering, OH, CCN 367778
  • Buckeye Home Health Care, LLC Home health agency, Dayton, OH, CCN 368197
  • Fidelity Health Care Home health agency, Moraine, OH, CCN 367160
  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079
  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Kettering Health Miamisburg Hospital, Miamisburg, OH, CCN 360239
  • Soin Medical Center Hospital, Beaver Creek, OH, CCN 360360
  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.145436OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc Internal Medicine CurrentSince Jul 1, 2013 Accepting new patients
District Medical Group, Inc CurrentSince Jul 1, 2013 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Alliance Physicians Inc Family Medicine CurrentSince Aug 1, 2022 Accepting new patients

Locations

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

1745 E Stroop Rd
Kettering, OH 45429
Phone (937) 281-6340

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

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1174842884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRESTIGE PL STE 550",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426115",
            "telephone_number": "937-281-6340",
            "fax_number": "937-522-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 E STROOP RD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295039",
            "telephone_number": "937-281-6342",
            "fax_number": "937-281-6342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20751 W Market St",
            "address_purpose": "LOCATION",
            "city": "Buckeye",
            "state": "AZ",
            "postal_code": "853967893",
            "country_code": "US",
            "telephone_number": "623-463-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENTURA",
        "first_name": "CARLOS",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-19",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.145436",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "47262",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "47262",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "1745 E Stroop Rd",
            "city": "Kettering",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454295039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cventura801646@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "1745 E Stroop Rd",
            "city": "Kettering",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454295039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.