Individual provider Active NPI

Rana Eletriby, MD

  • Internal Medicine Physician
  • Burlington, MA
National Provider Identifier
1649665498
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
273551 Issued in MA
Practice address
67 S. Bedford Street
Lahey Hospital and Medical Center
Burlington, MA 01803
Phone
(781) 744-7000
Fax
(781) 744-5351
NPI assigned
Mar 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 273551 MA Primary

Addresses

Primary practice location

67 S. Bedford Street
Lahey Hospital and Medical Center
Burlington, MA 01803

Mailing address

67 S. Bedford Street
Lahey Hospital and Medical Center
Burlington, MA 01803
Phone (781) 744-7000

Other names 1

  • Rana El-Etriby Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180831002020 MA Practitioner - Internal Medicine 3072811785 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

978 Worcester St
2ND FL NW Physicians Primary Care
Wellesley, MA 02482-3709
Phone (781) 235-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
273551MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Suburban Massachusetts Inc CurrentSince Sep 10, 2019 Accepting new patients
Lahey Clinic, Inc Internal Medicine CurrentSince Sep 10, 2018 Accepting new patients
Newton Wellesley Hospital Current Accepting new patients

Locations

67 S Bedford St
Burlington, MA 01803
Phone (781) 744-5115

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

173 Worcester St
Wellesley Hls, MA 02481
Phone (781) 235-7900

Interoperability endpoints

  • Direct secure messaging: eletriby.rana.nwh@direct.partners.masshiway.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1649665498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 S. BEDFORD STREET",
            "address_2": "LAHEY HOSPITAL AND MEDICAL CENTER",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "01803",
            "telephone_number": "781-744-7000",
            "fax_number": "781-744-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 S. BEDFORD STREET",
            "address_2": "LAHEY HOSPITAL AND MEDICAL CENTER",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "01803",
            "telephone_number": "781-744-7000",
            "fax_number": "781-744-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELETRIBY",
        "first_name": "RANA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "273551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANA",
            "last_name": "EL-ETRIBY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burlington, MA

Sources for this page

Verify at the official NPI Registry.