Active NPI
Jawad Qureshi, M.D.
- Diagnostic Radiology Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- S6484
- Practice address
- 815 Pennsylvania Ave
Fort Worth, TX 76104-2224 - Phone
- (817) 321-0404
- NPI assigned
- Jun 30, 2014
- Last updated
- Mar 1, 2023
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MT207215 | PA | |
| Diagnostic Radiology Physician | 2085R0202X | S6484 | TX | Primary |
Addresses
Primary practice location
815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Mailing address
816 W Cannon St
Fort Worth, TX 76104-3146
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
- Diagnostic Radiology
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2605 S Quail Run CT
Southlake, TX 76092-3123
Phone (409) 347-7612
815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone (817) 321-0470
Hospital & facility affiliations
- Texas Health Harris Methodist Fort Worth
- Baylor Scott and White All Saints Medical Center
- Baylor Scott & White Medical Center Grapevine
- Medical City Fort Worth
- JPS Health Network
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT207215 | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of North Texas | Current | Accepting new patients | |
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| North Star NPT LP | Current | Accepting new patients | |
| Health Imaging Partners, LLC | Current | Accepting new patients | |
| Radiology Associates of North Texas PA | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Crawford Andrews & Davis PTR | Diagnostic Radiology | Current | Accepting new patients |
| University of Texas Southwestern Medical Center at Dallas | Diagnostic Radiology | Current | Accepting new patients |
| Clinical Care in Radiology | Past | Accepting new patients | |
| North Star Plano Parkway, LP | Past | Accepting new patients |
Locations
10057 County Road 472
Anna, TX 75409
1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429
17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303
2350 N Stemmons Fwy
Dallas, TX 75207
Phone (469) 488-7100
1320 S University Dr
Ste 500
Fort Worth, TX 76107
Phone (817) 321-0391
600 S Main St
Ft Worth, TX 76104
Phone (817) 882-2400
815 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 321-0300
816 W Cannon St
Ft Worth, TX 76104
Phone (817) 321-0312
5425 W Spring Creek Pkwy
Plano, TX 75024
Phone (972) 599-9600
6101 W Plano Pkwy
Ste 150
Plano, TX 75093
Phone (469) 326-8623
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Organizations & group practices 17
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.
-
dba Radiology Associates, L.L.P.
- Diagnostic Radiology Physician
- Beaumont, TX
- NPI 1952325573
-
- Diagnostic Radiology Physician
- Fort Worth, TX
- NPI 1710970975
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
dba Envision Imaging at Hunters Row
- Physiological Laboratory
- Mansfield, TX
- NPI 1093045072
Diagnostic Radiology
-
dba Envision Imaging of Hulen
- Physiological Laboratory
- Fort Worth, TX
- NPI 1104109552
Diagnostic Radiology
-
dba Envision Imaging of Bedford
- Physiological Laboratory
- Bedford, TX
- NPI 1215358957
Diagnostic Radiology
-
dba Envision Imaging - Women's Imaging Mansfield
- Physiological Laboratory
- Mansfield, TX
- NPI 1295477974
Diagnostic Radiology
-
dba Envision Imaging at Pennsylvania
- Physiological Laboratory
- Fort Worth, TX
- NPI 1396166039
Diagnostic Radiology
-
dba Envision Imaging of South Arlington
- Physiological Laboratory
- Arlington, TX
- NPI 1689095325
Diagnostic Radiology
-
dba Envision Imaging Euless
- Physiological Laboratory
- Euless, TX
- NPI 1699530857
-
dba Envision Imaging of North Arlington
- Physiological Laboratory
- Arlington, TX
- NPI 1932520673
Diagnostic Radiology
-
dba North Star Diagnostic Imaging
- Radiology Clinic/Center
- Plano, TX
- NPI 1699387647
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White All Saints Medical Center - Fort Worth
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1669472387
-
dba Baylor Scott & White Medical Center - Grapevine
- General Acute Care Hospital
- Grapevine, TX
- NPI 1073511762
-
dba Medical City Fort Worth
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1659323772
-
dba JPS Health Network
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1992753222
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677628800000",
"number": "1225443096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "816 W CANNON ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 PENNSYLVANIA AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042224",
"telephone_number": "817-321-0404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QURESHI",
"first_name": "JAWAD",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-30",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MT207215",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "S6484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.