Individual provider Active NPI

Imraan A Qureshi, MD

  • Child & Adolescent Psychiatry Physician
  • Denton, TX
National Provider Identifier
1104088483
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
Q0812 Issued in TX
Practice address
2519 Scripture St
Denton, TX 76201-2324
Phone
(940) 381-5000
NPI assigned
Jun 27, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 49007 CT
Student in an Organized Health Care Education/Training Program 390200000X CT
Child & Adolescent Psychiatry Physician 2084P0804X Q0812 TX Primary

Addresses

Primary practice location

2519 Scripture St
Denton, TX 76201-2324

Mailing address

1380 River Bend Dr
Dallas, TX 75247-4914

Other practice location 1

7214 Texas 78
Sachse, TX 75048
Phone (214) 997-2250

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
I20141119000959 TX Practitioner - Psychiatry 2466674809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Denton County MHMR CenterGroup PAC ID 0547159329, 16 clinicians

Practice addresses (Care Compare)

2519 Scripture St
Denton, TX 76201-2324
Phone (940) 381-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49007CTMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Denton County MHMR Center CurrentSince Jun 25, 2018 Accepting new patients
Denton County MHMR Center CurrentSince Jun 25, 2018 Accepting new patients

Locations

2519 Scripture St
Denton, TX 76201
Phone (940) 381-5000

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1104088483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 RIVER BEND DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 SCRIPTURE ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012324",
            "telephone_number": "940-381-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7214 Texas 78",
            "address_purpose": "LOCATION",
            "city": "Sachse",
            "state": "TX",
            "postal_code": "75048",
            "country_code": "US",
            "telephone_number": "214-997-2250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "IMRAAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CT",
            "license": "49007",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "Q0812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.