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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

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: August 02, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

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 27 days 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.