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LAITH AL EJEILAT MD
NPI 1174176333
Pediatrics in Saint Paul, MN

Active since July 17, 2019PECOS Enrolled
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107(651) 602-7500(651) 602-7513 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2026, Jul 17, 2019 (2 updates tracked since 2019).

About Laith Al Ejeilat Md NPPES

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

LAITH AL EJEILAT MD (NPI 1174176333) is an individual pediatrics provider in Saint Paul, Minnesota, licensed in Minnesota (82876) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174176333
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameLAITH AL EJEILATCredential: MD
Location Address153 CESAR CHAVEZ STSaint Paul, MN 55107-2226
Mailing Address153 Cesar Chavez StSaint Paul, MN 55107-2226 · (651) 602-7500 · Fax (651) 602-7513
Phone(651) 602-7500
Fax(651) 602-7513
Sole ProprietorNo
Enumeration DateJuly 17, 2019
Last NPPES UpdateJuly 8, 20262 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1174176333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 82876
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
153 CESAR CHAVEZ ST, Saint Paul, MN 55107
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laith Al Ejeilat Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Laith Al Ejeilat reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West Side Community Health Services, Inc
Same address
Federally Qualified Health Center (FQHC)
153 CESAR CHAVEZ ST
Saint Paul, MN 55107
  • Reassigned Medicare billing, Minnesota enrollment
  • 101 clinicians in this Medicare group
NPI 1437118619 (651) 222-1816
Henry Ford Health System
531 mi
Pediatrics
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 1,886 clinicians in this Medicare group
NPI 1003990318 (313) 916-2600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55107 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
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 20

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

JEANNE RANCONE
Nurse Practitioner
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Ramsey County (651) 222-1816
SHAUN SAVA PA-C
Physician Assistant (Medical)
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Ramsey County (651) 389-2540
DR. JUSTIN LEE ANDERSON PHARMD
Pharmacist
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Ramsey County (651) 602-7589
LISA SMITH CNM
Advanced Practice Midwife
153 CESAR CHAVEZ ST, WESTSIDE COMMUNITY HEALTH SERVICES, INC.
W. ST. PAUL, MN 55107
Ramsey County (651) 602-7552
KAREN WOLF
Nurse Practitioner
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Ramsey County (651) 222-1816
ISETTA PIERRE MA, LMFT
Marriage & Family Therapist
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Ramsey County (651) 602-7500
MS. CHELSEA OKORAFOR CNM
Advanced Practice Midwife
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Ramsey County (651) 602-7500
TAMARA JACKMAN
Advanced Practice Midwife
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Ramsey County (651) 222-1816

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 Laith Al Ejeilat's NPI number?

The NPI number for Laith Al Ejeilat is 1174176333. It was assigned to this individual provider in the NPPES registry on July 17, 2019.

Where is Laith Al Ejeilat located?

Laith Al Ejeilat practices at 153 Cesar Chavez St, Saint Paul, MN 55107. The listed phone number is (651) 602-7500.

What is Laith Al Ejeilat's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Laith Al Ejeilat enrolled in Medicare?

Yes. Laith Al Ejeilat is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Laith Al Ejeilat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laith Al Ejeilat reassigns Medicare benefits to 2 organizations: West Side Community Health Services, Inc (Saint Paul, MN) and Henry Ford Health System (Detroit, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Laith Al Ejeilat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Laith Al Ejeilat accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Laith Al Ejeilat as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Laith Al Ejeilat was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.