Individual provider Active NPI

Laith J Jacob, MD, MBCHB

  • Internal Medicine Physician
  • Livonia, MI
National Provider Identifier
1083064000
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301109743 Issued in MI
Practice address
15645 Farmington Rd
Livonia, MI 48154-2851
Phone
(248) 245-6533
NPI assigned
Jun 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301109743 MI Primary

Addresses

Primary practice location

15645 Farmington Rd
Livonia, MI 48154-2851

Mailing address

15645 Farmington Rd
Livonia, MI 48154-2851
Phone (248) 245-6533

Other names 1

  • Laith Jacob Cebe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191112001413 MI Practitioner - Internal MedicinePractitioner - Emergency Medicine 4082909395 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Faith Internal Medicine PLLCGroup PAC ID 3779959127, 2 clinicians
Promedica Monroe PhysiciansGroup PAC ID 2365696176, 64 clinicians

Practice addresses (Care Compare)

15645 Farmington Rd
Suite a
Livonia, MI 48154-2851
Phone (734) 464-7600

718 N Macomb St
Monroe, MI 48162-7815
Phone (734) 240-8987

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue25
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301109743MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Internal Medicine PLLC CurrentSince Sep 1, 2022 Accepting new patients
Promedica Monroe Physicians Internal Medicine CurrentSince Oct 1, 2019 Accepting new patients
Michigan Emergency Physicians, LLP Current Accepting new patients
Michigan Emergency Physicians LLP CurrentSince Mar 11, 2022 Accepting new patients
Faith Urgent Care PLLC CurrentSince Oct 12, 2022 Accepting new patients

Locations

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

3175 Smith Rd
Lambertville, MI 48144
Phone (734) 856-5494

15645 Farmington Rd
Ste B
Livonia, MI 48154
Phone (734) 464-7600

15645 Farmington Rd
Livonia, MI 48154
Phone (734) 425-5320

15645 Farmington Rd
Ste A
Livonia, MI 48154
Phone (734) 464-7600

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

Interoperability endpoints

  • Direct secure messaging: laithjacob@smomsjhsys.allscriptsdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1083064000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15645 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542851",
            "telephone_number": "248-245-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15645 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542851",
            "telephone_number": "248-245-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "LAITH",
        "middle_name": "J",
        "credential": "MD, MBCHB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-21",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301109743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAITH",
            "last_name": "CEBE",
            "middle_name": "JACOB",
            "credential": "MD, MBCHB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.