Individual provider Active NPI

Raya Tabbalat, MB BCH BAO

  • Endocrinology, Diabetes & Metabolism Physician
  • Galveston, TX
National Provider Identifier
1558010439
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
BP10094051 Issued in TX
Practice address
301 University Boulevard Galveston
Galveston, TX 77555-1060
Phone
(409) 772-0700
Fax
(409) 747-7012
NPI assigned
Mar 20, 2022
Last updated
May 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OH
Endocrinology, Diabetes & Metabolism Physician 207RE0101X BP10094051 TX Primary

Addresses

Primary practice location

301 University Boulevard Galveston
Galveston, TX 77555-1060

Mailing address

301 University Boulevard Galveston
Galveston, TX 77555-1060
Phone (409) 772-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220517002409 OH Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 3274910088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BP10094051TXMDEndocrinology, Diabetes & Metabolism Physician

Interoperability endpoints

  • Direct secure messaging: rtabbalat38442@ehrdirect.uhhospitals.org

NPI Registry JSON

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

{
    "created_epoch": "1647734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1558010439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BOULEVARD GALVESTON",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775551060",
            "telephone_number": "409-772-0700",
            "fax_number": "409-747-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BOULEVARD GALVESTON",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775551060",
            "telephone_number": "409-772-0700",
            "fax_number": "409-747-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABBALAT",
        "first_name": "RAYA",
        "credential": "MB BCH BAO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-20",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "BP10094051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.