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KENILIA VENTURA M.D.
NPI 1306226360
Internal Medicine - Endocrinology, Diabetes & Metabolism in Jupiter, FL

Active since June 04, 2015PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4600 MILITARY TRL STE 218, JUPITER, FL 33458(561) 626-9041(561) 626-9634 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2022, Aug 24, 2016, Aug 15, 2016 (3 updates tracked since 2016).

About Kenilia Ventura M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENILIA VENTURA M.D. (NPI 1306226360) is an individual endocrinology, diabetes & metabolism provider in Jupiter, Florida, licensed in Florida (ME140657) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1306226360
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameKENILIA VENTURACredential: M.D.
Location Address4600 MILITARY TRL STE 218Jupiter, FL 33458-4831
Mailing Address4600 Military Trl Ste 218Jupiter, FL 33458-4831 · (561) 626-9041 · Fax (561) 626-9634
Phone(561) 626-9041
Fax(561) 626-9634
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 4, 2015
Last NPPES UpdateDecember 19, 20223 updates tracked since enumeration
NPPES CertifiedDecember 19, 2022
✔ NPI 1306226360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in FL · ME140657
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedHospitalistTaxonomy 208M00000X · License 25MA09935600 (NJ)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4600 MILITARY TRL STE 218, Jupiter, FL 33458
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenilia Ventura M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517253925
PECOS Enrollment IDI20190725002207
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,430 services686 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
475 services204 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
249 services100 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
178 services178 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
52 services45 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

Jupiter Medical Center

Acute Care Hospitals · Jupiter, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100253
Location1210 S Old Dixie HwyJupiter, FL 33458 · Palm Beach County
Emergency services Birthing friendly

Good Samaritan Medical Center

Acute Care Hospitals · West Palm Beach, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100287
Location1309 N Flagler DrWest Palm Beach, FL 33401 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33458 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers18 claims233 services$18.25 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers18 claims562 services$2.35 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
41 suppliers126 claims417 services$5.65 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
26 suppliers54 claims87 services$0.96 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
3 suppliers18 claims18 services$280.98 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
4 suppliers15 claims1,940 services$7.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALEKSANDRA KRAEHER MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4600 MILITARY TRL STE 218
JUPITER, FL 33458
Palm Beach County (561) 626-9041

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenilia Ventura's NPI number?

The NPI number for Kenilia Ventura is 1306226360. It was assigned to this individual provider in the NPPES registry on June 4, 2015.

Where is Kenilia Ventura located?

Kenilia Ventura practices at 4600 Military Trl Ste 218, Jupiter, FL 33458. The listed phone number is (561) 626-9041.

What is Kenilia Ventura's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Kenilia Ventura enrolled in Medicare?

Yes. Kenilia Ventura is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kenilia Ventura accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Kenilia Ventura as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kenilia Ventura affiliated with any hospitals?

According to CMS data, Kenilia Ventura is affiliated with Cleveland Clinic Martin North Hospital, Jupiter Medical Center and Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Kenilia Ventura was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.