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

Lisa Roselin Jacob, MD

Individual provider Anesthesiology Physician · NPI 1871810879

Lisa Roselin Jacob, MD is an Anesthesiology in West Bloomfield, Michigan. Graduated from George Washington University School of Medicine in 2010, 16 years ago. Practices with Henry Ford Health System, a 2,540-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
16
Trained at
George Washington University School of Medicine
Licensed in
IL, MI
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6777 W Maple Rd
West Bloomfield, MI 48322
Phone: (313) 205-8581
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 251 E Huron St, Chicago, IL 60611-2908 — (312) 695-4387

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 4301109137 (MI)
Anesthesiology Physician Taxonomy 207L00000X · Licence 036138036 (IL)

Record details

NPI number1871810879
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 29, 2010
Last updated in NPPESJuly 5, 2018

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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