Individual provider Active NPI

Vivian M Ayoub, M.D.

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1215971882
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L7742 Issued in TX
Practice address
18414 US Highway 281 N
Suite 116
San Antonio, TX 78259-7610
Phone
(210) 354-0800
Fax
(210) 598-7876
NPI assigned
Jun 15, 2006
Last updated
Dec 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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 L7742 TX Primary

Addresses

Primary practice location

18414 US Highway 281 N
Suite 116
San Antonio, TX 78259-7610

Mailing address

200 Navarro St
Suite 200
San Antonio, TX 78205-2900
Phone (210) 354-0800

Other names 1

  • Vivian M Habib Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vivian.ayoub@conviva.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040102000296 TX Practitioner - Internal Medicine 2264331834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

260 US Hwy 181 N
Floresville, TX 78114-3136
Phone (830) 393-8222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L7742TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (SC) PC Internal Medicine CurrentSince Jan 20, 2020 Accepting new patients
Conviva Medical Center Management of Texas, P.a. Internal Medicine CurrentSince Jan 20, 2020 Accepting new patients
L. Ehrlich & Associates Medical Clinic, P.L.L.C. Internal Medicine PastSince May 16, 2022 Accepting new patients
Village Chiropractic and Wellness P.L.L.C. Past Accepting new patients
McCi of Texas Hospitalist Group, PLLC Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

4254 S Alameda St
Corpus Christi, TX 78412
Phone (361) 500-4351

10435 Vista del Sol Dr
El Paso, TX 79925
Phone (915) 591-6229

260 US Highway 181 N
Floresville, TX 78114
Phone (830) 393-8222

18414 US Highway 281 N
Ste 104
San Antonio, TX 78259
Phone (210) 354-0800

1911 Rogers Rd
San Antonio, TX 78251
Phone (210) 523-9933

4455 Thousand Oaks Dr
San Antonio, TX 78233
Phone (726) 268-7360

7142 San Pedro Ave
San Antonio, TX 78216
Phone (726) 204-4745

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AAHHAA
  • Direct secure messaging: vivian.ayoub.1@29601.direct.athenahealth.com
  • Direct secure messaging: vivian.ayoub@conviva.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1215971882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NAVARRO ST",
            "address_2": "SUITE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052900",
            "telephone_number": "210-354-0800",
            "fax_number": "210-598-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18414 US HIGHWAY 281 N",
            "address_2": "SUITE 116",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782597610",
            "telephone_number": "210-354-0800",
            "fax_number": "210-598-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYOUB",
        "first_name": "VIVIAN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L7742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vivian.ayoub@conviva.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "18414 US Highway 281 N",
            "address_2": "Suite 116",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782597610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "VIVIAN",
            "last_name": "HABIB",
            "middle_name": "M",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.