Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ethan Manelin, MD

Individual provider Internal Medicine Physician · NPI 1790363943

Ethan Manelin, MD is an Internal Medicine in Boston, Massachusetts. Graduated from Harvard Medical School in 2021, 5 years ago. Practices with Evans Medical Foundation Inc, a 526-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
5
Trained at
Harvard Medical School
Licensed in
MA
In the registry since
2021
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

801 Massachusetts Ave Crosstown 2
Boston, MA 02118
Phone: (617) 414-7399
Fax: (617) 414-9201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 1019038 (MA)

Record details

NPI number1790363943
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2021
Last updated in NPPESDecember 13, 2024
Certification dateDecember 13, 2024
Mailing address960 Massachusetts Ave, Fl2, Boston, MA 02118-6106

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolHARVARD MEDICAL SCHOOL
Graduated 2021 (5 years in practice)
Group practice Evans Medical Foundation Inc — 526 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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