DR. JESSE MANUEL VENTOSO DC
NPI 1316555873
Chiropractor in Fairfax, VA
About Dr. Jesse Manuel Ventoso Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JESSE MANUEL VENTOSO DC (NPI 1316555873) is an individual chiropractor in Fairfax, Virginia, licensed in Virginia (0104557858) and active in the NPI registry since July 2020. He is a graduate of Life Chiropractic College (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jesse Manuel Ventoso Dc 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.
Medicare Billing Reassignment
Medicare enrollment records show Jesse Ventoso reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fairfax, VA 22030
- Reassigned Medicare billing, District of Columbia enrollment
- Medicare enrollment name: Lee Dc Active Family Wellness
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jesse Ventoso's NPI number?
The NPI number for Jesse Ventoso is 1316555873. It was assigned to this individual provider in the NPPES registry on July 21, 2020.
Where is Jesse Ventoso located?
Jesse Ventoso practices at 11350 Random Hills Rd Ste 300, Fairfax, VA 22030. The listed phone number is (703) 373-7113.
What is Jesse Ventoso's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Jesse Ventoso enrolled in Medicare?
Yes. Jesse Ventoso 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.
Which organization bills Medicare for Jesse Ventoso's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Ventoso reassigns Medicare benefits to Active Family Wellness PLLC (Fairfax, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jesse Ventoso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jesse Ventoso was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Dr. Jesse Manuel Ventoso, DC · NPI 1316555873
Chiropractor provider in Fairfax, Virginia. Individual provider, active in the CMS NPPES registry since July 21, 2020.
## Identity
- **NPI:** 1316555873 (Entity type: Individual)
- **Enumerated:** July 21, 2020
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 0104557858 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 11350 RANDOM HILLS RD STE 300, Fairfax, VA 22030-7421
- **Phone:** (703) 373-7113
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Active Family Wellness PLLC (NPI 1629680079, Fairfax, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Life Chiropractic College, class of 2019
## Record status
- **NPPES last updated:** January 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1316555873) · Data from the CMS NPPES public registry.