Individual provider Active NPI

Gillian Althea Jacob, M.D.

  • Obstetrics & Gynecology Physician
  • Leesburg, VA
National Provider Identifier
1285617498
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101238135 Issued in VA
Practice address
161 Fort Evans Rd NE
Suite 320
Leesburg, VA 20176-3369
Phone
(703) 777-5111
Fax
(703) 777-8465
NPI assigned
Nov 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101238135 VA Primary

Addresses

Primary practice location

161 Fort Evans Rd NE
Suite 320
Leesburg, VA 20176-3369

Mailing address

8110 Maple Lawn Blvd Ste 235
Fulton, MD 20759-2694
Phone (301) 340-8339

Other practice location 1

46179 Westlake Dr Ste 240
Potomac Falls, VA 20165-5874
Phone (703) 430-7770

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address illian.jacob.p2@direct.cwcare.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20140225000630 VA Practitioner - Obstetrics/Gynecology 6204869274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Maryland School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Womens Care LLCGroup PAC ID 4880582741, 281 clinicians

Practice addresses (Care Compare)

161 Fort Evans
Suite 320
Leesburg, VA 20176-3374
Phone (703) 777-5111

Merit-based Incentive Payment System (MIPS)

Final score
43.1 of 100Reported as group
Quality
7.9
Improvement activities
40
Cost
79.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Women'S Care, L.L.C. Obstetrics & Gynecology CurrentSince Feb 1, 2014 Accepting new patients
Medical & Surgical Clinics of Southern Maryland Inc Obstetrics & Gynecology Past Accepting new patients
Capital Women'S Care, L.L.C. Obstetrics & Gynecology Past Accepting new patients
Medstar Southern Maryland Physicians, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8110 Maple Lawn Blvd
Ste 235
Fulton, MD 20759

161 Fort Evans Rd NE
Ste 320
Leesburg, VA 20176
Phone (703) 777-5111

46179 Westlake Dr
Ste 240
Potomac Falls, VA 20165
Phone (703) 368-1969

Interoperability endpoints

  • Direct secure messaging: gillian.jacob.p1@direct.cwcare.nextgenshare.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1285617498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 MAPLE LAWN BLVD STE 235",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592694",
            "telephone_number": "301-340-8339",
            "fax_number": "301-340-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 FORT EVANS RD NE",
            "address_2": "SUITE 320",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763369",
            "telephone_number": "703-777-5111",
            "fax_number": "703-777-8465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46179 Westlake Dr Ste 240",
            "address_purpose": "LOCATION",
            "city": "Potomac Falls",
            "state": "VA",
            "postal_code": "201655874",
            "country_code": "US",
            "telephone_number": "703-430-7770",
            "fax_number": "703-430-6480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOB",
        "first_name": "GILLIAN",
        "middle_name": "ALTHEA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101238135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "illian.jacob.p2@direct.cwcare.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "46179 Westlake Dr Ste 240",
            "city": "Potomac Falls",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201655874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.