Mauli R. Dalal, MD

Individual provider Active NPI Family Medicine Physician · Lake Jackson, TX

NPI 1669935524 · NPPES record last updated Sep 25, 2025

Key facts

NPI
1669935524
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
T8794 (TX)
Practice address
192 Abner Jackson Pkwy
Lake Jackson, TX 77566-5160
Phone
(979) 285-0007
NPI assigned
Apr 8, 2019
Sex
Female
Sole proprietor
No

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raj Dalal MD PA (2 clinicians)

Practice addresses (Care Compare)

192 Abner Jackson Pkwy
Lake Jackson, TX 77566-5160
Phone (979) 236-9414

Hospital & facility affiliations

  • CHI St Luke'S Health Brazosport Hospital · Lake Jackson, TX · CCN 450072
  • HCA Houston Healthcare Pearland Hospital · Pearland, TX · CCN 670106
  • Sweeny Community Hospital Hospital · Sweeny, TX · CCN 451311

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220916000765 TX Practitioner - Family Practice 2163840612 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
T8794TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raj Dalal MD PA Current
since Sep 5, 2022
Accepting new patients

Locations

192 Abner Jackson Pkwy
Lake Jackson, TX 77566
Phone (979) 236-9414

Interoperability endpoints

  • Direct secure messaging: mauli.dalal@79721525673988.direct.elationemr.com
  • Direct secure messaging: mdalal456311@direct.stlukeshealth.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X T8794 TX Yes

Addresses

Primary practice location

192 Abner Jackson Pkwy
Lake Jackson, TX 77566-5160

Mailing address

192 Abner Jackson Pkwy
Lake Jackson, TX 77566-5160
Phone (979) 285-0007

Other providers in Lake Jackson, TX

All providers in Lake Jackson, TX · Family Medicine Physician in Texas

Sources for this page

Verify at the official NPI Registry.