Moataz Ellithi, MD.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

15795 Issued in SD

Practice address

Buffett Cancer Center, University of Nebraska Medical C
986840 Nebraska Medical Center
Omaha, NE 68198-6840

Phone

(605) 941-9874

NPI assigned

Apr 17, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SD, NE2 enrollments

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 2

Specialty

Hematology/Oncology

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sanford Health NetworkGroup PAC ID 6800707100, 357 clinicians

Unmc PhysiciansGroup PAC ID 6002728391, 1,490 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013
• Sanford Medical Center Aberdeen Hospital, Aberdeen, SD, CCN 430097
• Bellevue Medical Center Hospital, Bellevue, NE, CCN 280132

Merit-based Incentive Payment System (MIPS)

Final score

85.53 of 100Reported as group

Quality

80.98

Promoting interoperability

100

Improvement activities

40

Cost

70.78

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mellithi276804@direct.nebraskamed.com
• Direct secure messaging: mellithi96388@mskcc.direct-ci.com

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.

• Unmc Physicians

  • Multi-Specialty Clinic/Center
  • Omaha, NE
  • NPI 1417912114
  Medicare reassignment Care Compare group NPD
• Sanford Health Network

  • Critical Access Hospital
  • Vermillion, SD
  • NPI 1790721280
  Medicare reassignment Care Compare group
• Sanford Health Network

  • Family Medicine Physician
  • Vermillion, SD
  • NPI 1013921733
  NPD
• Sanford Health Network

  • Rural Health Clinic/Center
  • Canby, MN
  • NPI 1437243607
  NPD
• Sanford Health Network

  • Rural Health Clinic/Center
  • Mountain Lake, MN
  • NPI 1568469039
  NPD

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

• Bellevue Medical Center LLC

  • General Acute Care Hospital
  • Bellevue, NE
  • NPI 1609007525
  Care Compare affiliation
• The Nebraska Medical Center

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1356307581
  Care Compare affiliation
• Sanford Health Network

  • General Acute Care Hospital
  • Aberdeen, SD
  • NPI 1235406455
  Care Compare affiliation
• Sanford Health Network

  • General Acute Care Hospital
  • Aberdeen, SD
  • NPI 1639423957
  Care Compare affiliation

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1710474697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986840 NEBRASKA MEDICAL CENTER",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681986840",
            "telephone_number": "402-559-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUFFETT CANCER CENTER, UNIVERSITY OF NEBRASKA MEDICAL C",
            "address_2": "986840 NEBRASKA MEDICAL CENTER",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681986840",
            "telephone_number": "605-941-9874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLITHI",
        "first_name": "MOATAZ",
        "name_prefix": "Mr.",
        "credential": "MD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-17",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "SD",
            "license": "15795",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Ray Ellis, D.D.S
• Zarriya Ellis
• Joseph Robert Ellison, M.D.
• Larry Johnson Ellison, DDS
• Melissa Anne Ellison, MS
• Steven Elloie
• Rebecca Ruth Ellsworth, PA-C
• Mary Kathryn Ellwanger, APRN-NP, CPNP-PC
• Idil Elmi
• Zahra J Elmi

• Hematology & Oncology Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Hematology & Oncology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.

Verify at the official NPI Registry.