Individual provider Active NPI

Ali Hussein Ayoub, M.D.

  • Interventional Cardiology Physician
  • Metairie, LA
National Provider Identifier
1740656099
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
312354 Issued in LA
Practice address
4224 Houma Blvd Ste 500
Metairie, LA 70006-2938
Phone
(045) 503-4102
Fax
(504) 456-6737
NPI assigned
Aug 20, 2015
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 312354 LA
Interventional Cardiology Physician 207RI0011X 312354 LA Primary

Addresses

Primary practice location

4224 Houma Blvd Ste 500
Metairie, LA 70006-2938

Mailing address

4224 Houma Blvd Ste 500
Metairie, LA 70006-2938
Phone (045) 503-4102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20220325001831 LA Practitioner - Interventional CardiologyPractitioner - Internal Medicine 2163728148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4228 Houma Blvd
Metairie, LA 70006-3000
Phone (504) 503-4102

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting15
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
312354LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Jefferson Physicians Group LLC Internal Medicine CurrentSince Sep 15, 2023 Accepting new patients
East Jefferson Physicians Group Urgent Care PastSince Sep 15, 2023 Accepting new patients
Metairie Physician Services Inc. Internal Medicine Past Accepting new patients

Locations

4224 Houma Blvd
Ste 500
Metairie, LA 70006
Phone (504) 455-0842

4228 Houma Blvd
Fl 3
Metairie, LA 70006
Phone (504) 454-2222

4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

1100 Poydras St
Ste 2500
New Orleans, LA 70163
Phone (504) 527-9953

Organizations & group practices 3

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 7

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": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1740656099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 HOUMA BLVD STE 500",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062938",
            "telephone_number": "045-503-4102",
            "fax_number": "504-456-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 HOUMA BLVD STE 500",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062938",
            "telephone_number": "045-503-4102",
            "fax_number": "504-456-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYOUB",
        "first_name": "ALI",
        "middle_name": "HUSSEIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-20",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "312354",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "LA",
            "license": "312354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.