Individual provider Active NPI

Dalia Morad, MD

  • Pediatrics Physician
  • Tyler, TX
National Provider Identifier
1720657570
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
U7245 Issued in TX
Practice address
214 E Houston St
Tyler, TX 75702-8131
Phone
(903) 535-9041
Fax
(903) 533-1747
NPI assigned
Jun 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X U7245 TX Primary

Addresses

Primary practice location

214 E Houston St
Tyler, TX 75702-8131

Mailing address

2990 N Broadway Ave
Tyler, TX 75702-2149
Phone (903) 593-1892

Other practice location 1

2990 N Broadway Ave
Tyler, TX 75702-2149
Phone (903) 593-1892

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
I20240909000444 TX Practitioner - Pediatric Medicine 2062813108 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tyler Family Circle of Care CurrentSince Aug 23, 2024 Accepting new patients
Tyler Family Circle of Care PastSince Jan 19, 2025 Accepting new patients

Locations

2990 N Broadway Ave
Tyler, TX 75702
Phone (903) 245-1984

523 S Fannin Ave
Tyler, TX 75702

214 E Houston St
Tyler, TX 75702
Phone (903) 593-1892

Organizations & group practices 2

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": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1720657570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 N BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757022149",
            "telephone_number": "903-593-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E HOUSTON ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028131",
            "telephone_number": "903-535-9041",
            "fax_number": "903-533-1747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2990 N Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757022149",
            "country_code": "US",
            "telephone_number": "903-593-1892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORAD",
        "first_name": "DALIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "U7245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.