Active NPI
Ann Jacob, DO
- Obstetrics & Gynecology Physician
- Falls Church, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0102207963
- Practice address
- 407 N Washington St Ste 105
Falls Church, VA 22046-3436 - Phone
- (703) 533-9211
- NPI assigned
- Apr 24, 2018
- Last updated
- Apr 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 0102207963 | VA | Primary |
Addresses
Primary practice location
407 N Washington St Ste 105
Falls Church, VA 22046-3436
Mailing address
128 Waterford PL
Alexandria, VA 22314-3860
Phone (724) 816-7274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1133 21St St NW
Suite 200
Washington, DC 20036-3324
Phone (202) 331-0770
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.58 of 100
- Quality
- 81.75
- Improvement activities
- 40
- Cost
- 69.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102207963 | VA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reiter and Hill PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Maryland Physicians Edge LLC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
1133 21st St NW
Ste 200
Washington, DC 20036
Phone (202) 331-1740
5530 Wisconsin Ave
Ste 604
Chevy Chase, MD 20815
Phone (301) 654-5700
407 N Washington St
Ste 105
Falls Church, VA 22046
Phone (703) 533-9211
Interoperability endpoints
- ann.jacob.2@21608.direct.athenahealth.com
- https://api.platform.athenahealth.com/21608/brand/4/csg/41/fhir/r4
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Washington, DC
- NPI 1457560732
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sibley Memorial Hospital
- General Acute Care Hospital
- Washington, DC
- NPI 1366492977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1700374865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 WATERFORD PL",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223143860",
"telephone_number": "724-816-7274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 N WASHINGTON ST STE 105",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220463436",
"telephone_number": "703-533-9211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOB",
"first_name": "ANN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-24",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "0102207963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.