LISA ROSELIN JACOB M.D.
NPI 1871810879
Anesthesiology in West Bloomfield, MI

Q: What is Lisa Jacob's NPI number?

The NPI number for Lisa Jacob is 1871810879. It was assigned to this individual provider in the NPPES registry on April 29, 2010.

Q: What is Lisa Jacob's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Jacob was last updated on July 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since April 29, 2010PECOS EnrolledAccepts Medicare Assignment

6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322(313) 205-8581 Get Directions Write a Review

NPPES record last updated: July 5, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Lisa Roselin Jacob M.d. NPPES

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

LISA ROSELIN JACOB M.D. (NPI 1871810879) is an individual anesthesiology provider in West Bloomfield, Michigan, licensed in Michigan (4301109137) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1871810879

Entity TypeIndividualFemale

Primary Taxonomy207L00000X

Provider Legal NameLISA ROSELIN JACOBCredential: M.D.

Location Address6777 W MAPLE RDWest Bloomfield, MI 48322

Mailing Address6199 Wincliff DrWest Bloomfield, MI 48322-4800 · (610) 247-1086

Phone(313) 205-8581

Sole ProprietorNo

Medical School CMSGeorge Washington University School Of MedicineGraduated 2010

Enumeration DateApril 29, 2010

Last NPPES UpdateJuly 5, 2018

✔ NPI 1871810879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

Licenses✔ Licensed in MI · 4301109137✔ Licensed in IL · 036138036

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

6777 W MAPLE RD, West Bloomfield, MI 48322

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Secondary Practice Location 1

Location 1251 E Huron St, Ste 7-503Chicago, IL 60611-2908 · Phone (312) 695-4387

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Roselin Jacob 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 ID7416262811

PECOS Enrollment IDI20160628002868

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

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

Henry Ford West Bloomfield Hospital

Same address

Anesthesiology

6777 W. MAPLE
West Bloomfield, MI 48322

Reassigned Medicare billing, Michigan enrollment
161 clinicians in this Medicare group

NPI 1518104686 (248) 661-4100

Henry Ford Health System

20 mi

Anesthesiology

2799 W GRAND BLVD
Detroit, MI 48202

Reassigned Medicare billing, Michigan enrollment
130 clinicians in this Medicare group

NPI 1003989690 (313) 916-2600

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

Areas of Expertise CMS Part B claims 5

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

27 services27 patients

Anesthesia for procedure for total knee joint replacement 01402

Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.

23 services23 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

15 services15 patients

Anesthesia for x-ray or radiation therapy 01922

Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.

15 services15 patients

Anesthesia for extensive surgery on spine 00670

Anesthesia for extensive spine surgery involves medication to block pain and make you unconscious during the procedure. It ensures comfort and prevents movement. Two types may be used: general (you sleep) or regional (numbs a large area). The choice depends on the surgery specifics and your health.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230053

Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County

Emergency services Birthing friendly

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230302

Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland County

Emergency services Birthing friendly

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.

IRB MEDICAL EQUIPMENT LLC

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)

6777 W MAPLE RD, RM 60-01
WEST BLOOMFIELD, MI 48322

Oakland County (248) 862-7214

MELISSA ANNE BARACH AGCNS

Clinical Nurse Specialist