Active NPI
Elan Witkowski, M.D.
- Surgery Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 245487
- Practice address
- 15 Parkman St
Wang Acc 460
Boston, MA 02114 - Phone
- (617) 643-8606
- Fax
- (617) 724-1117
- NPI assigned
- Jun 12, 2008
- Last updated
- Oct 1, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 245487 | MA | Primary |
Addresses
Primary practice location
15 Parkman St
Wang Acc 460
Boston, MA 02114
Mailing address
15 Parkman St
Wang Acc 460
Boston, MA 02114
Phone (617) 643-8606
Other practice location 1
75 Francis St
Boston, MA 02115-6106
Phone (617) 732-5500
Other practice location 2
50 Staniford St Ste 430
Boston, MA 02114-2541
Phone (617) 643-4002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Massachusetts Medical School, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
50 Staniford St
Boston, MA 02114-2517
55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287
Hospital & facility affiliations
- Mass General Brigham Home Care, Inc
- Massachusetts General Hospital
- Newton-Wellesley Hospital
- Brigham and Women's Hospital
- North Shore Medical Center -
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 11 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 28 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The General Hospital Corporation | Current | Accepting new patients | |
| General Hospital Corp | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Surgery | Current | Accepting new patients |
| Newton-Wellesley Hospital | Past | Accepting new patients |
Locations
15 Parkman St
Boston, MA 02114
Phone (617) 726-3023
15 Parkman St
#460
Boston, MA 02114
Phone (617) 726-2819
50 Staniford St
Boston, MA 02114
Phone (617) 723-2015
50 Staniford St
Ste 430
Boston, MA 02114
Phone (617) 643-4002
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
Interoperability endpoints
- witkowski.elan.mgh@direct.partners.masshiway.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Surgery
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
dba Massachusetts General Hospital Outpatient Pharmacy
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Partners Healthcare At Home - Home Care
- Home Health Agency
- Newton, MA
- NPI 1083644017
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
-
dba Salem Hospital
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790812800000",
"number": "1205096328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 PARKMAN ST",
"address_2": "WANG ACC 460",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-643-8606",
"fax_number": "617-724-1117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 PARKMAN ST",
"address_2": "WANG ACC 460",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-643-8606",
"fax_number": "617-724-1117"
}
],
"practiceLocations": [
{
"address_1": "75 Francis St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021156106",
"country_code": "US",
"telephone_number": "617-732-5500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "50 Staniford St Ste 430",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021142541",
"country_code": "US",
"telephone_number": "617-643-4002",
"fax_number": "617-724-2535",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WITKOWSKI",
"first_name": "ELAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-12",
"last_updated": "2026-10-01",
"certification_date": "2026-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "245487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.