Individual provider Active NPI

Henry G. Raroque Jr., M.D.

  • Neurology Physician
  • Irving, TX
National Provider Identifier
1023077567
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
H6748 Issued in TX
Practice address
1215 Kinwest Pkwy
Ste 120
Irving, TX 75063
Phone
(214) 496-0500
Fax
(214) 496-0922
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X H6748 TX
Neurology Physician 2084N0400X H6748 TX Primary

Addresses

Primary practice location

1215 Kinwest Pkwy
Ste 120
Irving, TX 75063

Mailing address

1215 Kinwest Pkwy
Ste 120
Irving, TX 75063
Phone (214) 496-0500

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
I20040804001491 TX Practitioner - NeurologyPractitioner - OphthalmologyPractitioner - Other (Physician) 5890766612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Ophthalmology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry G Raroque Jr MD PAGroup PAC ID 2961449418, 3 clinicians
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

1215 Kinwest Pkwy
Suite 120
Irving, TX 75063-3403
Phone (214) 496-0500

4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Braincare, LLC CurrentSince Apr 1, 2012 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIFABA/Endpoint/AIFABA
  • Direct secure messaging: dmchraroq@yourcarecommunity.org

Organizations & group practices 2

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

Hospital & facility affiliations 5

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1023077567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 KINWEST PKWY",
            "address_2": "STE 120",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75063",
            "telephone_number": "214-496-0500",
            "fax_number": "214-496-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 KINWEST PKWY",
            "address_2": "STE 120",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75063",
            "telephone_number": "214-496-0500",
            "fax_number": "214-496-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAROQUE",
        "first_name": "HENRY",
        "middle_name": "G.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "TX",
            "license": "H6748",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "H6748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.