Individual provider Active NPI

Sevilay Dalabih, MD

  • Pediatrics Physician
  • Corpus Christi, TX
National Provider Identifier
1275935363
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
U8039 Issued in TX
Practice address
1533 S Brownlee BLV
Corpus Christi, TX 78404
Phone
(361) 884-2242
NPI assigned
Sep 19, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X E-10945 AR
Pediatrics Physician 208000000X U8039 TX Primary

Addresses

Primary practice location

1533 S Brownlee BLV
Corpus Christi, TX 78404

Mailing address

200 Black Diamond Rd
Portland, TX 78374
Phone (501) 333-5903

Other practice location 1

1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7274

Other practice location 2

1420 W 43rd Ave
Pine Bluff, AR 71603-7010
Phone (870) 534-6210

Other practice location 3

1500 West 42nd Avenue
Pine Bluff, AR 71603
Phone (870) 556-7000

Other identifiers 2

IdentifierTypeStateIssuer
191099401MedicaidTX
226633001MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dalabihs@ohit.sharear.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240606004085 TX Practitioner - Pediatric Medicine 8123342342 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-10945ARMDPediatrics Physician
U8039TXMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: dalabihs@ohit.sharear.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1275935363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BLACK DIAMOND RD",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "78374",
            "telephone_number": "501-333-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 S BROWNLEE BLV",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78404",
            "telephone_number": "361-884-2242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 W 40th Ave",
            "address_purpose": "LOCATION",
            "city": "Pine Bluff",
            "state": "AR",
            "postal_code": "71603",
            "country_code": "US",
            "telephone_number": "870-541-7274",
            "fax_number": "870-541-7411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1420 W 43rd Ave",
            "address_purpose": "LOCATION",
            "city": "Pine Bluff",
            "state": "AR",
            "postal_code": "716037010",
            "country_code": "US",
            "telephone_number": "870-534-6210",
            "fax_number": "870-534-8620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 West 42nd Avenue",
            "address_purpose": "LOCATION",
            "city": "Pine Bluff",
            "state": "AR",
            "postal_code": "71603",
            "country_code": "US",
            "telephone_number": "870-556-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALABIH",
        "first_name": "SEVILAY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E-10945",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "U8039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191099401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226633001",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dalabihs@ohit.sharear.net",
            "affiliation": "N",
            "address_1": "1600 W 40th Ave",
            "city": "Pine Bluff",
            "state": "AR",
            "country_code": "US",
            "postal_code": "71603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.