SOUDABEH DALIRI
NPI 1588123723
Internal Medicine in Houston, TX

Q: What is Soudabeh Daliri's NPI number?

The NPI number for Soudabeh Daliri is 1588123723. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Q: What is Soudabeh Daliri's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Soudabeh Daliri was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 18, 2019PECOS EnrolledAccepts Medicare Assignment

6550 FANNIN ST # SM1001, HOUSTON, TX 77030(713) 441-4333(713) 790-3023 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 29, 2025, Oct 10, 2023, Aug 21, 2022 and 1 more (4 updates tracked since 2019).

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About Soudabeh Daliri NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUDABEH DALIRI (NPI 1588123723) is an individual internal medicine provider in Houston, Texas, licensed in Nevada (22546) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Christus Mother Frances Hospital, and maintains a secondary practice location in Tyler.

NPPES Registry Identity

NPI1588123723

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSOUDABEH DALIRI

Location Address6550 FANNIN ST # SM1001Houston, TX 77030-2717

Mailing Address6550 Fannin St # Sm1001Houston, TX 77030-2717 · (713) 441-4333 · Fax (713) 790-3023

Phone(713) 441-4333

Fax(713) 790-3023

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2019

Enumeration DateMarch 18, 2019

Last NPPES UpdateDecember 29, 20254 updates tracked since enumeration

NPPES CertifiedDecember 29, 2025

✔ NPI 1588123723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NV · 22546

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X · License V8972 (TX)

6550 FANNIN ST # SM1001, Houston, TX 77030

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Secondary Practice Location 1

Location 11327 Troup HwyTyler, TX 75701-4443 · Phone (903) 606-6533

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Soudabeh Daliri is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254668502

PECOS Enrollment IDI20260109002155

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450102

Location800 East DawsonTyler, TX 75701 · Smith County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NANDINI ARUNAVA RAY MD

Student in an Organized Health Care Education/Training Program