MIRA ADLY MAHMOUD AYOUB
NPI 1346866670
Radiology - Diagnostic Radiology in Chicago, IL

Active since June 23, 2020PECOS EnrolledAccepts Medicare Assignment
1211 S PRAIRIE AVE APT 1202, CHICAGO, IL 60605(412) 427-1582 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 28, 2020, Jun 23, 2020 (2 updates tracked since 2020).

About Mira Adly Mahmoud Ayoub NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRA ADLY MAHMOUD AYOUB (NPI 1346866670) is an individual diagnostic radiology provider in Chicago, Illinois, licensed in Illinois (036-161974) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Presence Saint Joseph Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1346866670
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameMIRA ADLY MAHMOUD AYOUB
Location Address1211 S PRAIRIE AVE APT 1202Chicago, IL 60605-3648
Mailing Address1211 S Prairie Ave Apt 1202Chicago, IL 60605-3648
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 23, 2020
Last NPPES UpdateJuly 16, 20252 updates tracked since enumeration
NPPES CertifiedJuly 16, 2025
NPI 1346866670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in IL · 036-161974
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License 036-161974 (IL)
1211 S PRAIRIE AVE APT 1202, Chicago, IL 60605

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mira Adly Mahmoud Ayoub is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739503905
PECOS Enrollment IDI20260206002934
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Presence Saint Joseph Medical Center

Acute Care Hospitals · Joliet, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140007
Location333 N Madison StJoliet, IL 60435 · Will County
Emergency services Birthing friendly

Amita Health Resurrection Medical Center

Acute Care Hospitals · Chicago, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140117
Location7435 W Talcott AvenueChicago, IL 60631 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mira Ayoub's NPI number?

The NPI number for Mira Ayoub is 1346866670. It was assigned to this individual provider in the NPPES registry on June 23, 2020.

Where is Mira Ayoub located?

Mira Ayoub practices at 1211 S Prairie Ave Apt 1202, Chicago, IL 60605. The listed phone number is (412) 427-1582.

What is Mira Ayoub's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Mira Ayoub enrolled in Medicare?

Yes. Mira Ayoub is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Mira Ayoub affiliated with any hospitals?

According to CMS data, Mira Ayoub is affiliated with Presence Saint Joseph Medical Center and Amita Health Resurrection Medical Center.

When was this NPI record last updated?

The NPPES record for Mira Ayoub was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.