Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jack Pete Ayoub, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1790836690

Dr. Jack Pete Ayoub, MD is an Obstetrics/Gynecology in Leesburg, Virginia. Graduated from Creighton University School of Medicine in 2003, 23 years ago. Practices with Privia Medical Group, LLC, a 1,518-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
23
Trained at
Creighton University School of Medicine
Licensed in
VA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

19490 Sandridge Way 350
Leesburg, VA 20176
Phone: (703) 858-5599
Fax: (703) 858-5699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 0101244378 (VA)

Record details

NPI number1790836690
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 16, 2007
Last updated in NPPESJune 5, 2015
Mailing address19490 Sandridge Way, 350, Leesburg, VA 20176

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Privia Medical Group, Llc — 1518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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