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Dr. Jesse Manuel Ventoso , DC

Chiropractor β€’ Fairfax, VA

Active NPI 1316555873 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

11350 Random Hills Rd Ste 300
Fairfax, VA 220307421

Call 7033737113 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

11350 Random Hills Rd Ste 300

Fairfax, VA 220307421

Telephone 7033737113
Organization at the Same NPPES Address or Phone
Active Family Wellness Pllc Facility NPI 1629680079

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Lee Dc Active Family Wellness. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Life Chiropractic College

Graduation Year

2019

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Ventoso has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Fairfax and Virginia

78 active clinicians are listed under Chiropractor with a practice address in Fairfax, VA (1,566 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fairfax

0% of these 78 clinicians have the CMS telehealth indicator.

32.1% of these 78 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-01-06
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES VA 0104557858

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CHIROPRACTIC

Medicare Enrollment ID

I20241223002128

Enrollment State Jurisdiction

DC

PECOS Control ID

9335676857

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Lee Dc Active Family Wellness

11350 Random Hills Rd, Fairfax, VA 220307421

Phone: 7033737113

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1154419950

Doctor of Chiropractic

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location January 06, 2025

Registered at 11350 RANDOM HILLS RD STE 300, FAIRFAX, VA 220307421 (Tel: 7033737113)

πŸ“
Updated Business Mailing Address January 06, 2025

Registered at 11350 RANDOM HILLS RD STE 300, FAIRFAX, VA 220307421 (Tel: 7033737113)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2025

Chiropractor (license number reported to NPPES: VA 0104557858)

βœ…
NPI Profile Active July 21, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 21, 2020

Registered at 341 SMITH RD, PARSIPPANY, NJ 070542805 (Tel: 9735854415)

πŸ“
Business Mailing Address (Initial Record) July 21, 2020

Registered at 341 SMITH RD, PARSIPPANY, NJ 070542805 (Tel: 9735854415)

πŸ‘€
Provider Name / Credentials (Initial Record) July 21, 2020

Recorded as JESSE VENTOSO, DC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2020

Chiropractor (license number reported to NPPES: NJ 2339137)

🟒
Initial NPI Registration & Enumeration July 21, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1316555873
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2020
Last Update: January 06, 2025
Sole Proprietor: No

Other Chiropractors in Fairfax

All Chiropractors in Fairfax

Mailing Address

11350 Random Hills Rd Ste 300

Fairfax, VA 220307421

Phone: 7033737113

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.