ALI BUSOUL (DO) – Family Medicine Physician, NPI 1063915957

ALI BUSOUL (DO) is a healthcare provider. based in Katy, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. T1308 (TX). The NPI Number for ALI BUSOUL (DO) is 1063915957

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
ALI BUSOUL (DO)
NPI
1063915957
Phone
(281) 574-0124
Address
22915 Morton Ranch Rd
Enumeration Date
16 March 2018
Last Update Date
12 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8175088169
Graduation Year
2018 (8 years ago)
PAC ID
8729412028
Group Practice PAC ID
6204375280
Professional Enrollment ID
I20220614001721
Address ID
TX768015314BR1604XSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Digital endpointsOther names

8,706 FAMILY PRACTICE in TX

Provider Addresses for ALI BUSOUL (DO)

  • 22915 Morton Ranch Rd

    Katy, TX 774492159

    Phone: (281) 574-0124

    Type: Location

  • 2830 S HULEN ST # 365

    FORT WORTH, TX 761091514

    Phone: (469) 283-0076

    Type: Mailing

  • Larkin General Hospital, 7031, Southwest 62nd Avenue, South Miami, Miami-Dade County, Florida, 33143, United States

    SOUTH MIAMI, FL 331434701

    Phone: (305) 284-7761

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-06-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220614001721IFamily PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
87804Detection test by immunoassay with direct visual observation for influenza virus4214$0
99344Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes2828$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes2516$0
96372Injection of drug or substance under skin or into muscle2311$0
99345Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 77449)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204375280View full group profile
NameSpecialtyState
Nurse PractitionerTX
Physician AssistantTX

Reviews

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Frequently asked questions

Can I use this page to confirm ALI BUSOUL (DO)'s NPI?
Yes. ALI BUSOUL (DO) is listed with NPI 1063915957 in the public NPI dataset.
Does CMS list ALI BUSOUL (DO) as active?
Yes — ALI BUSOUL (DO) is active in the NPI listing used on this page.
What is ALI BUSOUL (DO)'s specialty?
The listing groups ALI BUSOUL (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect ALI BUSOUL (DO) on a map?
Expect Katy, Texas as a primary anchor for ALI BUSOUL (DO) unless the record lists multiple sites.
Is the information about ALI BUSOUL (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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