NPIMap

Individual provider Active NPI

Fysal Albaalbaki, MD

  • Nephrology Physician
  • Fort Worth, TX
National Provider Identifier
1548449663
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
Q9273 Issued in TX
Practice address
508 South Adams,
Suite 102
Fort Worth, TX 76104-2151
Phone
(817) 339-8855
Fax
(817) 339-8889
NPI assigned
Oct 25, 2007
Last updated
Dec 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X Q9273 TX Primary

Addresses

Primary practice location

508 South Adams,
Suite 102
Fort Worth, TX 76104-2151

Mailing address

P.O. Box 961205
Fort Worth, TX 76104-2151
Phone (817) 339-8855

Other identifiers 1

IdentifierTypeStateIssuer
363766201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100511000447 TX Practitioner - NephrologyPractitioner - Family PracticePractitioner - Internal Medicine 9133288590 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Family Practice
Education
University of Connecticut School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Care PLLCGroup PAC ID 7214840867, 363 clinicians

Practice addresses (Care Compare)

508 S Adams St
Suite 102
Fort Worth, TX 76104-2151
Phone (817) 339-8855

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.51 of 100Reported as apm
Quality
85.62
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Care, P.L.L.C. Nephrology CurrentSince Nov 1, 2016 Accepting new patients
Texas Health Care, P.L.L.C. Current Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Apr 11, 2017 Accepting new patients
Texas Health Care, P.L.L.C. Family Medicine CurrentSince Nov 1, 2016 Accepting new patients
Fort Worth Interventional LLC PastSince Oct 21, 2025 Accepting new patients

Locations

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

508 S Adams St
Ste 102
Fort Worth, TX 76104
Phone (817) 339-8855

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245

3150 Horizon Rd
Rockwall, TX 75032
Phone (469) 498-1000

920 Santa Fe Dr
Ste 103
Weatherford, TX 76086
Phone (817) 339-8855

933 Hilltop Dr
Weatherford, TX 76086
Phone (817) 339-8855

Interoperability endpoints

  • Direct secure messaging: fysal.albaalbaki.p1@direct.thc.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/25344/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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 9

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": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1548449663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 961205",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042151",
            "telephone_number": "817-339-8855",
            "fax_number": "817-339-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 SOUTH ADAMS,",
            "address_2": "SUITE 102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042151",
            "telephone_number": "817-339-8855",
            "fax_number": "817-339-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBAALBAKI",
        "first_name": "FYSAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-25",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "Q9273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363766201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.