Edward E Moayyad, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

H5009 Issued in TX

Practice address

2624 Matlock Rd Ste 110
Arlington, TX 76015-2525

Phone

(817) 275-8131

Fax

(817) 795-9700

NPI assigned

Jul 1, 2006

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Arlington Pediatric Partners PLLC

  • Pediatrics Physician
  • Arlington, TX
  • NPI 1568007284
  NPD
• Physicians and Allied Health Professionals Group, PA

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1528011814

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1093744393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 MATLOCK ROAD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76015",
            "telephone_number": "817-275-8131",
            "fax_number": "817-795-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 MATLOCK RD STE 110",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152525",
            "telephone_number": "817-275-8131",
            "fax_number": "817-795-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOAYYAD",
        "first_name": "EDWARD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "H5009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110609807",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110609806",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mitchum & Williams Tender Hearts Group
• Mitchum and Williams Tender Care
• Sandra Mitchum
• Beatrice Chelangat Mithika, RN
• MLR Ventures LLC
• Mobilab Diagnostics, LLC
• Mobile Eeg Testing Inc
• Mobile Medical Examiners
• Kenya Mobley
• Raven Modisette, FNP-C,PMHNP-BC

• Pediatrics Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.