Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Edward Roberts, DO

Individual provider Surgery Physician · NPI 1831218817

Jacob Edward Roberts, DO is a General Surgery in Livonia, Michigan. Qualified in 2003, 23 years ago. Practices with Iha Olma Specialty 1 LLC, a 68-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
23
Licensed in
MI
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

14555 Levan Rd Marion Professional Bldg Ste 311
Livonia, MI 48154-5083
Phone: (734) 655-2692
Fax: (734) 655-4218
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 5101015635 (MI)

Record details

NPI number1831218817
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 28, 2007
Last updated in NPPESOctober 1, 2009
Mailing address7932 Goshen Dr, West Bloomfield, MI 48322-5002

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Iha Olma Specialty 1 Llc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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