Individual provider Active NPI

Ann Jacob, DO

  • Obstetrics & Gynecology Physician
  • Falls Church, VA
National Provider Identifier
1700374865
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0102207963 Issued in VA
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231019002785 DC Practitioner - Obstetrics/Gynecology 8325494867 Reassigns benefits to 2 organizations

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
Reiter and Hill PLLCGroup PAC ID 0345237210, 17 clinicians
Maryland Physicians Edge LLCGroup PAC ID 5890913503, 73 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
0102207963VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reiter and Hill PLLC Obstetrics & Gynecology CurrentSince Sep 18, 2023 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

  • Direct secure messaging: ann.jacob.2@21608.direct.athenahealth.com
  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.