Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Waleed Hazem Ezzat, MD

Individual provider Facial Plastic Surgery Physician · NPI 1821118837

Dr. Waleed Hazem Ezzat, MD is an Otolaryngology in Boston, Massachusetts. Graduated from Wayne State University School of Medicine in 2005, 21 years ago. Practices with Bumc Otolaryngologic Foundation Inc, a 27-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
21
Trained at
Wayne State University School of Medicine
Licensed in
MA
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

830 Harrison Ave Ste 1400
Boston, MA 02118-2905
Phone: (617) 638-8124
Fax: (617) 638-6424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 249477 (MA)
Facial Plastic Surgery Physician Taxonomy 207YS0123X · Licence 249477 (MA)
Otolaryngology/Facial Plastic Surgery Physician Taxonomy 207YX0905X · Licence 249477 (MA)

Record details

NPI number1821118837
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2007
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025
Mailing address960 Massachusetts Avenue, Fl 2, Boston, MA 02118-2690

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Bumc Otolaryngologic Foundation Inc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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