Dallas Pediatrics & Infectious Disease Associates

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

K9784 Issued in TX

Legal business name

DALLAS PEDIATRICS & INFECTIOUS DISEASE ASSOCIATES

Practice address

1120 S Main St
Suite 100
Grapevine, TX 76051-5543

Phone

(817) 416-5554

Fax

(817) 416-5556

NPI assigned

Oct 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Faryal Abdul Ghaffar, MDNPI 1336198308

Title

President

Phone

(817) 416-5554

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Faryal Abdul Ghaffar, MD

  • Pediatrics Physician
  • Grapevine, TX
  • NPI 1336198308
  Medicare reassignment NPD Authorized official
• Caroline Stiles

  • Physician Assistant
  • Grapevine, TX
  • NPI 1033805643
  NPD
• Qurratulain Yousuf, PA-C

  • Physician Assistant
  • Grapevine, TX
  • NPI 1336893916
  NPD
• Sarah Elizabeth Burton, MSN, APRN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Fort Worth, TX
  • NPI 1639715592

  Pediatrics

  NPD (past)
• Jenny Ngoc Tran

  • Physician Assistant
  • Grapevine, TX
  • NPI 1851169403
  NPD (past)

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1386833374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S MAIN ST",
            "address_2": "SUITE 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515543",
            "telephone_number": "817-416-5554",
            "fax_number": "817-416-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S MAIN ST",
            "address_2": "SUITE 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515543",
            "telephone_number": "817-416-5554",
            "fax_number": "817-416-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS PEDIATRICS & INFECTIOUS DISEASE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "GHAFFAR",
        "authorized_official_first_name": "FARYAL",
        "authorized_official_middle_name": "ABDUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-416-5554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K9784",
            "primary": true
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "TX",
            "license": "K9784",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175070501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0088MQ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175070502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cypress Interventional Pain Center LLC
• D J Montgomery Enterprise, LLC (Physicians Choice Health Services)
• Jason Saad-Eddine Daaboul, D.D.S.
• Dallas Id Associates, PA
• Dallas Neuropsychology Associates
• Dallas-Fort Worth Nephrology LP (Grapevine Dialysis)
• Nicholas Damiata
• Daniel Ha Pham, MD PA (DP Family Medical Care)
• Allyiah Daniels
• Lisa Buckingham Darr, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.