EVAN MICHAEL DALTON M.D.
NPI 1912439688
Pediatrics in Houston, TX

Q: What is Evan Dalton's NPI number?

The NPI number for Evan Dalton is 1912439688. It was assigned to this individual provider in the NPPES registry on March 31, 2017.

Q: What is Evan Dalton's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Evan Dalton was last updated on April 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 31, 2017PECOS Enrolled

6621 FANNIN ST, HOUSTON, TX 77030(832) 824-8420 Get Directions Write a Review

NPPES record last updated: April 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2023, Jun 26, 2020, Mar 31, 2017 (3 updates tracked since 2017).

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About Evan Michael Dalton M.d. NPPES

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

EVAN MICHAEL DALTON M.D. (NPI 1912439688) is an individual pediatrics provider in Houston, Texas, licensed in Texas (U3193) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Baylor College Of Medicine (2017).

NPPES Registry Identity

NPI1912439688

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameEVAN MICHAEL DALTONCredential: M.D.

Location Address6621 FANNIN STHouston, TX 77030-2399

Mailing Address3401 Civic Center BlvdPhiladelphia, PA 19104-4319 · (281) 608-1625

Phone(832) 824-8420

Sole ProprietorYes

Medical School CMSBaylor College Of MedicineGraduated 2017

Enumeration DateMarch 31, 2017

Last NPPES UpdateApril 2, 20233 updates tracked since enumeration

NPPES CertifiedApril 2, 2023

✔ NPI 1912439688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in TX · U3193✔ Licensed in PA · MD470043

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

6621 FANNIN ST, Houston, TX 77030

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Secondary Practice Location 1

Location 13401 Civic Center BlvdPhiladelphia, PA 19104-4319 · Phone (281) 608-1625

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evan Michael Dalton M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355848904

PECOS Enrollment IDI20251008004846

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.

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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

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.

DR. TAKETO BABA M.D.

Pediatrics (Pediatric Emergency Medicine)