Active NPI
Rehan Husain Ali, M.D.
- Family Medicine Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- Q2093
- Practice address
- 3520 NW Centre Dr
Fort Worth, TX 76135-3612 - Phone
- (817) 375-2100
- Fax
- (817) 237-0022
- NPI assigned
- Feb 26, 2009
- Last updated
- Mar 31, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35.094066 | OH | |
| Family Medicine Physician | 207Q00000X | Q2093 | TX | Primary |
| Family Medicine Physician | 207Q00000X | ME105935 | FL | |
| Family Medicine Physician | 207Q00000X | 13422 | NV | |
| Family Medicine Physician | 207Q00000X | 0101245870 | VA |
Addresses
Primary practice location
3520 NW Centre Dr
Fort Worth, TX 76135-3612
Mailing address
PO Box 9101
Coppell, TX 75019-9494
Phone (972) 745-7500
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1000 River Rd
Suite 100
Conshohocken, PA 19428-2439
13737 Noel Rd
Suite 1600
Dallas, TX 75240-1374
200 N Bryant Ave
Edmond, OK 73034-6273
350 W Cedar St
Pensacola, FL 32502-4910
350 W Cedar St 4TH FL
Pensacola, FL 32502-4910
350 W Cedar St 4TH FL
Pensacola, FL 32502-4911
3711 S Mopac Expwy
BLDG 2 Suite 400
Austin, TX 78746-8014
3809 S Greystone CT
Suite B
Springfield, MO 65804-6561
5565 Centerview Dr
Suite 107
Raleigh, NC 27606-3563
6901 Snider PLZ
Suite 130
Dallas, TX 75205-5649
One Choctaw Way
Talihina, OK 74571-2022
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.094066 | OH | MD | Family Medicine Physician |
| 0101245870 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Medical Group PLLC | Current | Accepting new patients | |
| Western Texas Emergency Physicians PLLC | Current | Accepting new patients | |
| Ipa ER Group PLLC | Family Medicine | Current | Accepting new patients |
| Concord Medical Group of Texas PLLC | Current | Accepting new patients | |
| Live Oak Emergency Physicians PLLC | Past | Accepting new patients | |
| Primary Health Physicians, PLLC | Past | Accepting new patients |
Locations
17101 Dallas Pkwy
Addison, TX 75001
Phone (214) 696-8033
6901 Snider Plz
Ste 130
Dallas, TX 75205
Phone (972) 381-6690
5900 Altamesa Blvd
Ft Worth, TX 76132
Phone (817) 433-9100
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
8000 Eldorado Pkwy
McKinney, TX 75070
Phone (469) 424-6400
305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500
802 N Minter Ave
Throckmorton, TX 76483
Phone (940) 849-2141
2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600
1814 Roseland Blvd
Ste 100
Tyler, TX 75701
Phone (214) 696-8033
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.
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- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1083630610
-
- Emergency Medicine Physician
- McKinney, TX
- NPI 1184674020
-
- Emergency Medicine Physician
- Mesquite, TX
- NPI 1679040562
-
- Urgent Care Clinic/Center
- Denton, TX
- NPI 1770048704
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- McKinney, TX
- NPI 1952538431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427760000000",
"number": "1225278583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9101",
"city": "COPPELL",
"state": "TX",
"postal_code": "750199494",
"telephone_number": "972-745-7500",
"fax_number": "972-745-4336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3520 NW CENTRE DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761353612",
"telephone_number": "817-375-2100",
"fax_number": "817-237-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "REHAN",
"middle_name": "HUSAIN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-26",
"last_updated": "2015-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.094066",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "Q2093",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME105935",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "13422",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101245870",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.