Moataz Ellithi, MD.
Internal Medicine, Hematology & Oncology in Omaha, NE. Individual provider (NPI-1).
NPI number1710474697
StatusActive
Last updated in NPPESDec 2, 2024
Details
- NPI
- 1710474697
- Entity type
- Individual (NPI-1)
- Name
- Mr. Moataz Ellithi
- Credential
- MD.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2018
- Certification date
- Dec 2, 2024
- Last updated
- Dec 2, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - HEMATOLOGY/ONCOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0003X | Internal Medicine, Hematology & Oncology | 15795 | SD | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
Buffett Cancer Center, University Of Nebraska Medical C986840 Nebraska Medical Center
Omaha, NE 68198-6840
Phone 605-941-9874
Mailing address
986840 Nebraska Medical CenterOmaha, NE 68198-6840
Phone 402-559-5388
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