Individual provider Active NPI

Astefanos Emad Yacoub Al-Dalakta, MD

  • Student in an Organized Health Care Education/Training Program
  • Houston, TX
National Provider Identifier
1265113997
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
6550 Fannin St Ste 1801
Houston, TX 77030-2744
Phone
(346) 238-0115
NPI assigned
Jul 26, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

6550 Fannin St Ste 1801
Houston, TX 77030-2744

Mailing address

6550 Fannin St Ste 1801
Houston, TX 77030-2744
Phone (346) 238-0115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20231205001284 OH Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 0143678920

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1265113997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST STE 1801",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302744",
            "telephone_number": "346-238-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST STE 1801",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302744",
            "telephone_number": "346-238-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-DALAKTA",
        "first_name": "ASTEFANOS",
        "middle_name": "EMAD YACOUB",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-26",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.