Individual provider Active NPI

Elias Atallah, MD

  • Neurological Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1255828109
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD489686 Issued in PA
Practice address
909 Walnut St FL 2D
Philadelphia, PA 19107-5211
Phone
(215) 955-7000
Fax
(215) 503-7038
NPI assigned
Apr 17, 2018
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD489686 PA Primary
Student in an Organized Health Care Education/Training Program 390200000X PA

Addresses

Primary practice location

909 Walnut St FL 2D
Philadelphia, PA 19107-5211

Mailing address

909 Walnut St FL 3D
Philadelphia, PA 19107-5211
Phone (215) 503-7008

Other practice location 1

5401 Old York Rd
Philadelphia, PA 19141-3030
Phone (215) 456-6127

Other practice location 2

901 Walnut St Fl 3D
Philadelphia, PA 19107-5214
Phone (267) 605-8697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251217002787 PA Practitioner - Neurosurgery 1658622063 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians
Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians

Practice addresses (Care Compare)

1101 Chestnut St
Philadelphia, PA 19107-3619
Phone (800) 533-3669

5401 Old York Rd Klein BLDG
Suite 400
Phila, PA 19141-3030
Phone (215) 456-7190

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD489686PAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson University Physicians Neurological Surgery CurrentSince Dec 21, 2025 Accepting new patients
Einstein Practice Plan Inc CurrentSince Nov 1, 2025 Accepting new patients
Einstein Practice Plan Inc Neurological Surgery CurrentSince Nov 1, 2025 Accepting new patients

Locations

1101 Chestnut St
Philadelphia, PA 19107
Phone (215) 955-4226

5401 Old York Rd
Philadelphia, PA 19141
Phone (215) 456-7150

5401 Old York Rd
Ste 400
Philadelphia, PA 19141
Phone (215) 456-7021

5401 Old York Rd
Ste 5
Philadelphia, PA 19141
Phone (215) 456-6127

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

909 Walnut St
Fl 2D
Philadelphia, PA 19107
Phone (215) 955-7000

909 Walnut St
Fl 3D
Philadelphia, PA 19107

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1255828109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 WALNUT ST FL 3D",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075211",
            "telephone_number": "215-503-7008",
            "fax_number": "215-503-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 WALNUT ST FL 2D",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075211",
            "telephone_number": "215-955-7000",
            "fax_number": "215-503-7038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5401 Old York Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191413030",
            "country_code": "US",
            "telephone_number": "215-456-6127",
            "fax_number": "215-456-5926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 Walnut St Fl 3D",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075214",
            "country_code": "US",
            "telephone_number": "267-605-8697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATALLAH",
        "first_name": "ELIAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-17",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD489686",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.