MR. MOATAZ ELLITHI MD. NPI 1710474697

NPI Information

  • NPI: 1710474697
  • Provider Name: MR. MOATAZ ELLITHI, MD.
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: BUFFETT CANCER CENTER, UNIVERSITY OF NEBRASKA MEDICAL C
    986840 NEBRASKA MEDICAL CENTER
    OMAHA, NE
    ZIP 68198
  • Phone: (605) 941-9874

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NPI Details

MR. Moataz Ellithi, MD. is a hematology and oncology internal medicine in Omaha, NE with 11 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. MR. Moataz Ellithi, MD. NPI is 1710474697. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

BUFFETT CANCER CENTER, UNIVERSITY OF NEBRASKA MEDICAL C
986840 NEBRASKA MEDICAL CENTER
OMAHA, NE
ZIP 68198-840
Phone: (605) 941-9874

The NPI 1710474697 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/17/2018 and was last updated on 12/2/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & Oncology15795SOUTH DAKOTAYes
2390200000XStudent in an Organized Health Care Education/Training ProgramNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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