Active NPI
Henry G. Raroque Jr., M.D.
- Neurology Physician
- Irving, TX
National Provider Identifier
1023077567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- H6748
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- The West Texas Rehabilitation Center
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Braincare, LLC | Current | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AIFABA/Endpoint/AIFABA
- 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.
-
- Neurology Physician
- Irving, TX
- NPI 1174713150
-
- Physiological Laboratory
- Flower Mound, TX
- NPI 1023383429
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Irving, TX
- NPI 1114268471
-
- General Acute Care Hospital
- Irving, TX
- NPI 1992700983
-
- General Acute Care Hospital
- Grapevine, TX
- NPI 1073511762
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1285798918
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.