Fred Elias Ghali, MD

Primary specialty

Pediatric Dermatology PhysicianTaxonomy code 207NP0225X

License

J7330 Issued in TX

Practice address

1325 W Northwest Hwy
Grapevine, TX 76051-3141

Phone

(817) 421-3376

Fax

(817) 416-4269

NPI assigned

Aug 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pediatric Dermatology of No. TX

  • Pediatric Dermatology Physician
  • Grapevine, TX
  • NPI 1487060679
  NPD (past) Authorized official
• PDP of Texas, PLLC

  • Dermatology Physician
  • Dallas, TX
  • NPI 1629025739
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1639286339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 N CENTRAL EXPY STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310928",
            "telephone_number": "214-987-3376",
            "fax_number": "469-532-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 W NORTHWEST HWY",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513141",
            "telephone_number": "817-421-3376",
            "fax_number": "817-416-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHALI",
        "first_name": "FRED",
        "middle_name": "ELIAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "J7330",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "TX",
            "license": "J7330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Back and Neck
• Genesis Spine Associates, Inc
• Tikku George, MD
• Georgia L Blair MD, PLLC
• Faryal Abdul Ghaffar, MD
• Dana Giacalone, DPM
• Gloria Kay Gibson
• Morgan Gibson, OTD, OTR/L
• Reef Royal Gillum, DO
• Elizabeth Gitau

• Pediatric Dermatology Physician in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Pediatric Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.