DR. JACK PETE AYOUB M.D.
NPI 1790836690
Obstetrics & Gynecology in Leesburg, VA

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment
19490 SANDRIDGE WAY, 350, LEESBURG, VA 20176(703) 858-5599(703) 858-5699 Get Directions Write a Review

NPPES record last updated: June 5, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jack Pete Ayoub M.d. NPPES

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

DR. JACK PETE AYOUB M.D. (NPI 1790836690) is an individual obstetrics & gynecology provider in Leesburg, Virginia, licensed in Virginia (0101244378) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (2003).

NPPES Registry Identity

NPI1790836690
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JACK PETE AYOUBCredential: M.D.
Location Address19490 SANDRIDGE WAY, 350Leesburg, VA 20176
Mailing Address19490 Sandridge Way, 350Leesburg, VA 20176 · (703) 858-5599 · Fax (703) 858-5699
Fax(703) 858-5699
Sole ProprietorYes
Medical School CMSCreighton University School Of MedicineGraduated 2003
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJune 5, 2015
NPI 1790836690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in VA · 0101244378
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
19490 SANDRIDGE WAY, Leesburg, VA 20176

Other Identifiers 1

Other1942440953VA · Business Npi

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

Dr. Jack Pete Ayoub M.d. 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 ID8224122494
PECOS Enrollment IDI20090625000406
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20176 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
19490 SANDRIDGE WAY, SUITE 140
LEESBURG, VA 20176
Nurse Practitioner (Family)
19490 SANDRIDGE WAY
LEESBURG, VA 20176
Clinic/Center (Physical Therapy)
19490 SANDRIDGE WAY, SUITE 170
LANSDOWNE, VA 20176
Internal Medicine (Pulmonary Disease)
19490 SANDRIDGE WAY, SUITE 210
LEESBURG, VA 20176

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 Jack Ayoub's NPI number?

The NPI number for Jack Ayoub is 1790836690. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Jack Ayoub located?

Jack Ayoub practices at 19490 Sandridge Way 350, Leesburg, VA 20176. The listed phone number is (703) 858-5599.

What is Jack Ayoub's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jack Ayoub enrolled in Medicare?

Yes. Jack 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.

When was this NPI record last updated?

The NPPES record for Jack Ayoub was last updated on June 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.