Individual provider Active NPI

Rehan Husain Ali, M.D.

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1225278583
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q2093 Issued in TX
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, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091023000105 TX Practitioner - Family PracticePractitioner - Emergency Medicine 9335286301 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
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

LicenseStateTypeSpecialty
35.094066OHMDFamily Medicine Physician
0101245870VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Jan 17, 2018 Accepting new patients
Western Texas Emergency Physicians PLLC CurrentSince Nov 5, 2024 Accepting new patients
Ipa ER Group PLLC Family Medicine CurrentSince Nov 3, 2024 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Jan 17, 2018 Accepting new patients
Live Oak Emergency Physicians PLLC PastSince Sep 15, 2019 Accepting new patients
Primary Health Physicians, PLLC PastSince Sep 7, 2024 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.