Individual provider Active NPI

Elio Ventresca, MD

  • Internal Medicine Physician
  • Dublin, OH
National Provider Identifier
1811904139
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.058803 Issued in OH
Practice address
3805 Emerald Pkwy
Dublin, OH 43016-3317
Phone
(614) 907-3065
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.058803 OH Primary
Hospitalist Physician 208M00000X 35.058803 OH

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
0760841MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20080104000053 OH Practitioner - Internal Medicine 8022198985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
44.06 of 100Reported as individual
Quality
48.65
Improvement activities
0
Cost
65.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.058803OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hygge Behavioral Health & Wellness, LLC CurrentSince Mar 1, 2020 Accepting new patients
Denison Medical Group LLC Hospitalist CurrentSince Nov 14, 2013 Accepting new patients
Omega Executive Healthcare Internal Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1087 Dennison Ave
Columbus, OH 43201
Phone (614) 458-9000

1087 Dennison Ave
Ste 7
Columbus, OH 43201
Phone (614) 459-2906

3805 Emerald Pkwy
Dublin, OH 43016
Phone (614) 356-0787

594 Newark Granville Rd
Granville, OH 43023
Phone (740) 587-1361

1201 River Valley Blvd
Lancaster, OH 43130
Phone (740) 303-4300

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1811904139",
    "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": {
        "last_name": "VENTRESCA",
        "first_name": "ELIO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.058803",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35.058803",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0760841",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.