SHADI AYYOUB – Hospitalist Physician, NPI 1477674232

SHADI AYYOUB is a healthcare provider. based in St augustine, Florida. specializing in INTERNAL MEDICINE. They hold a License No. 44249 (TN). The NPI Number for SHADI AYYOUB is 1477674232

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
SHADI AYYOUB
NPI
1477674232
Phone
(904) 819-4082
Address
PO BOX 3123
Enumeration Date
2 April 2007
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4232661490
Graduation Year
1995 (31 years ago)
PAC ID
5890881916
Group Practice PAC ID
1153780226
Professional Enrollment ID
I20090305000455
Address ID
TN374032173CH975XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness75
Years active:19State licenses:3Digital endpointsOther names

3,526 INTERNAL MEDICINE in TN

Provider Addresses for SHADI AYYOUB

  • PO BOX 3123

    ST AUGUSTINE, FL 320853123

    Phone: (904) 819-4082

    Fax: (904) 819-5156

    Type: Mailing

  • 975 E 3rd St

    Chattanooga, TN 374032103

    Phone: (423) 314-8234

    Type: Location

  • 400 HEALTH PARK BLVD STE 300

    ST AUGUSTINE, FL 320865784

    Phone: (904) 819-4082

    Fax: (904) 819-5156

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $197.

Total Amount is formed as General ($197) + Research ($0) + Ownership ($0) = $197.

Last reported payment date: 2024-08-29 • Largest payer in this snapshot: La Jolla Pharmaceutical Company ($41).

Total Amount

$197

General + Research + Ownership

Payments

9

Total payment records

General Amount

$197

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-29

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-03-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090305000455IInternal MedicineTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes314118$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes17781$0
99239Hospital discharge day management, more than 30 minutes103103$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4444$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and1111$0
View full utilization report →

Insurance plans in this area (ZIP 32085)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153780226View full group profile
NameSpecialtyState
Nurse PractitionerTN
H O S P I T A L I S TTN
N E U R O L O G YMI
Hand Surgery, Plastic And Reconstructive SurgeryTN
Physician AssistantTN
P S Y C H I A T R YTN
Internal MedicineTN
U R O L O G YCT
Internal MedicineWI
General SurgeryTN

Reviews

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Frequently asked questions

What number should I use to identify SHADI AYYOUB for billing?
Administrative and clinical systems typically use NPI 1477674232 for SHADI AYYOUB.
Is SHADI AYYOUB's NPI status active today?
Active status means SHADI AYYOUB's NPI record is not deactivated in the public file.
Which specialty label fits SHADI AYYOUB?
NPPES ties SHADI AYYOUB to Hospitalist Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to SHADI AYYOUB?
The directory associates SHADI AYYOUB with St Augustine, Florida. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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