Individual provider Active NPI

Ali Busoul, DO

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1063915957
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T1308 Issued in TX
Practice address
2830 S Hulen St # 365
Fort Worth, TX 76109-1514
Phone
(817) 239-3915
NPI assigned
Mar 16, 2018
Last updated
Mar 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X T1308 TX Primary

Addresses

Primary practice location

2830 S Hulen St # 365
Fort Worth, TX 76109-1514

Mailing address

2830 S Hulen St # 365
Fort Worth, TX 76109-1514
Phone (469) 283-0076

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
I20220614001721 TX Practitioner - Family Practice 8729412028 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
DK Physicians Professional Limited Liability CompanyGroup PAC ID 0547502767, 2 clinicians
RHC Insurance Texas PLLCGroup PAC ID 6204375280, 9 clinicians

Practice addresses (Care Compare)

12300 Ford Rd
Suite 135
Farmers Branch, TX 75234-8124
Phone 8176371041102

1604 14TH St
Brownwood, TX 76801-5314
Phone (817) 508-8169

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care Texas, P.a. Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
Medexpress Urgent Care Texas, P.a. Current Accepting new patients
DK Physicians Professional Limited Liability Company Family Medicine CurrentSince Mar 8, 2022 Accepting new patients
Medexpress Urgent Care Texas, P.a. CurrentSince Jan 1, 2024 Accepting new patients
RHC Insurance Texas PLLC Family Medicine CurrentSince Feb 2, 2026 Accepting new patients
Medexpress Urgent Care Texas, P.a. Past Accepting new patients

Locations

1604 14th St
Brownwood, TX 76801
Phone (325) 646-5296

9 Medical Pkwy
Ste 102
Farmers Branch, TX 75234
Phone (530) 788-6631

12300 Ford Rd
Ste 135
Farmers Brnch, TX 75234
Phone (469) 283-0076

5001 S Hulen St
Fort Worth, TX 76132
Phone (817) 361-1928

22915 Morton Ranch Rd
Katy, TX 77449
Phone (281) 574-0124

769 Bandit Trl
Keller, TX 76248
Phone (214) 496-0500

1804 NE Loop 410
Ste 104
San Antonio, TX 78217

1305 N Highway 77
Waxahachie, TX 75165
Phone (972) 937-1203

Interoperability endpoints

  • Direct secure messaging: ali.busoul.1@27404.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1063915957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 S HULEN ST # 365",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091514",
            "telephone_number": "469-283-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 S HULEN ST # 365",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091514",
            "telephone_number": "817-239-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSOUL",
        "first_name": "ALI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-16",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T1308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.