Individual provider Active NPI

Kaitlin Hathaway Ellis, MD

  • Obstetrics & Gynecology Physician
  • Attleboro, MA
National Provider Identifier
1821675307
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
1024409 Issued in MA
Practice address
20 Oneil Blvd
Attleboro, MA 02703-1854
Phone
(508) 222-3200
Fax
(508) 342-1903
NPI assigned
Mar 29, 2021
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 1024409 MA Primary
Obstetrics & Gynecology Physician 207V00000X LP05444 RI

Addresses

Primary practice location

20 Oneil Blvd
Attleboro, MA 02703-1854

Mailing address

20 Oneil Blvd
Attleboro, MA 02703-1854
Phone (508) 222-3200

Other practice location 1

60 Messenger St
Plainville, MA 02762-2258
Phone (508) 809-6379

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
I20250916003080 MA Practitioner - Obstetrics/Gynecology 4385045046 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Chicago, Pritzker School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sturdy Health IncGroup PAC ID 9537152806, shared by 17 NPIs, 191 clinicians

Practice addresses (Care Compare)

60 Messenger St
Plainville, MA 02762-2258
Phone (508) 698-0055

687 N Main St
Attleboro, MA 02703-1518
Phone (508) 222-3200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sturdy Health Inc CurrentSince Sep 17, 2025 Accepting new patients
Sturdy Health Inc Obstetrics & Gynecology CurrentSince Sep 17, 2025 Accepting new patients
Sturdy Health, Inc. CurrentSince Sep 17, 2025 Accepting new patients
Sturdy Health Inc Past Accepting new patients

Locations

20 Oneil Blvd
Attleboro, MA 02703
Phone (508) 222-2021

687 N Main St
Attleboro, MA 02703
Phone (508) 222-3200

200 Copeland Dr
Mansfield, MA 02048
Phone (508) 339-4144

170 Draper Ave
North Attleboro, MA 02760
Phone (508) 695-2697

60 Messenger St
Plainville, MA 02762
Phone (508) 695-0055

211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200

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 1

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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1821675307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ONEIL BLVD",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027031854",
            "telephone_number": "508-222-3200",
            "fax_number": "508-342-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ONEIL BLVD",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027031854",
            "telephone_number": "508-222-3200",
            "fax_number": "508-342-1903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Messenger St",
            "address_purpose": "LOCATION",
            "city": "Plainville",
            "state": "MA",
            "postal_code": "027622258",
            "country_code": "US",
            "telephone_number": "508-809-6379",
            "fax_number": "508-342-1908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "KAITLIN",
        "middle_name": "HATHAWAY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "1024409",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "RI",
            "license": "LP05444",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Attleboro, MA

Sources for this page

Verify at the official NPI Registry.