Hatem Abdallah Ellaithy, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2888624 Issued in MA

Practice address

55 Fruit St
Boston, MA 02114-2621

Phone

(857) 282-3083

NPI assigned

Mar 30, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Hatem Omar Abdallah Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1700464062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BAKER AVE",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805001",
            "telephone_number": "475-319-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "857-282-3083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 Cambridge St",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021411106",
            "country_code": "US",
            "telephone_number": "617-724-4133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLAITHY",
        "first_name": "HATEM",
        "middle_name": "ABDALLAH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-30",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "2888624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HATEM",
            "last_name": "ABDALLAH",
            "middle_name": "OMAR",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Claudette Elkhoury, DMD
• Eileen Elkies, OT
• Rachel Elkin, MD
• Burak Elkiran, M.D
• Jacob Matt Elkon, MD
• Kristen K. Ellard, MA
• Jacob Ellen
• Jeffrey M Ellenbogen, M.D.
• Max Ellenhorn
• Todd B Ellerin, M.D.

• Internal Medicine Physician in Boston, MA
• Providers in Boston, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.