NPIMap

Individual provider Active NPI

Latha Venkatesh, M.D.

  • Internal Medicine Physician
  • Xenia, OH
National Provider Identifier
1760487979
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-07-6413 Issued in OH
Practice address
2066 W Main St Ste 130
Xenia, OH 45385-2882
Phone
(937) 372-7583
Fax
(937) 372-7727
NPI assigned
Jun 15, 2005
Last updated
Apr 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-07-6413 OH Primary

Addresses

Primary practice location

2066 W Main St Ste 130
Xenia, OH 45385-2882

Mailing address

3170 Kettering Blvd BLDG B2
Moraine, OH 45439-1924
Phone (937) 991-3188

Other identifiers 1

IdentifierTypeStateIssuer
2239956MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
RESTful URL lvenkatesh2466@direct.premierhealth.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070112000128 OH Practitioner - Internal Medicine 6305846502 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
LV Advanced Care LLCGroup PAC ID 0648405100, 2 clinicians
United Church Homes, Inc.Group PAC ID 2062514193, 3 clinicians
Mvhe IncGroup PAC ID 9537066584, 399 clinicians

Practice addresses (Care Compare)

Beavercreek, OH 45434
Phone (937) 427-0517

170 E Ctr St
Marion, OH 43302-3815
Phone (740) 251-8306

2066 W Main St
Suite 130
Xenia, OH 45385-2882
Phone (937) 372-7583

2451 Wayne Ave
Dayton, OH 45420-1893
Phone (937) 252-1831

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.91 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
69.71

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as group
Quality
83.64
Promoting interoperability
100
Improvement activities
40
Cost
73.78

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mvhe Inc Internal Medicine CurrentSince Nov 15, 2021 Accepting new patients
Mvhe Inc Internal Medicine CurrentSince Nov 15, 2021 Accepting new patients
United Church Homes, Inc. CurrentSince Jul 5, 2024 Accepting new patients
LV Advanced Care, LLC CurrentSince Oct 15, 2013 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Mvhe Inc Internal Medicine Past Accepting new patients
Ohio Institute of Cardiac Care, Inc Internal Medicine Past Accepting new patients
United Church Homes, Inc. Past Accepting new patients
Wright Rehabilitation and Healthcare Center LLC Past Accepting new patients
United Church Homes, Inc. Past Accepting new patients

Locations

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

6611 Clyo Rd
Ste D
Dayton, OH 45459
Phone (937) 208-7350

9000 N Main St
Ste 202
Englewood, OH 45415
Phone (937) 832-1095

170 E Center St
Marion, OH 43302
Phone (740) 251-8306

2066 W Main St
Ste 130
Xenia, OH 45385
Phone (937) 372-7583

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Trinity Community at BeavercreekBeavercreek, OH, CCN 365777 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 22, 2019
Jan 30, 2026
Wright Rehabilitation and Healthcare CenterFairborn, OH, CCN 365743 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 1, 2021
Sep 1, 2021

Owned or controlled facilities with NPI records 2

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

Organizations & group practices 10

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1760487979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD BLDG B2",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-991-3188",
            "fax_number": "937-372-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2066 W MAIN ST STE 130",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453852882",
            "telephone_number": "937-372-7583",
            "fax_number": "937-372-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENKATESH",
        "first_name": "LATHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-07-6413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2239956",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "386 N Detroit St",
            "city": "Xenia",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453852233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "lvenkatesh2466@direct.premierhealth.com",
            "affiliation": "N",
            "address_1": "6611 Clyo Rd Ste D",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454592785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Xenia, OH

Sources for this page

Verify at the official NPI Registry.