Individual provider Active NPI

Jawad Qureshi, M.D.

  • Diagnostic Radiology Physician
  • Fort Worth, TX
National Provider Identifier
1225443096
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
S6484 Issued in TX
Practice address
815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone
(817) 321-0404
NPI assigned
Jun 30, 2014
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200813000850 TX Practitioner - Diagnostic Radiology 0244656841 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Crawford Andrews and Davis PTRGroup PAC ID 6507814084, 47 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber 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

LicenseStateTypeSpecialty
MT207215PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Nov 4, 2020 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Nov 4, 2020 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Nov 4, 2020 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 14, 2022 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Nov 4, 2020 Accepting new patients
Radiology Associates of North Texas CurrentSince Sep 28, 2020 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Apr 5, 2025 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Nov 4, 2020 Accepting new patients
North Star NPT LP CurrentSince Oct 7, 2025 Accepting new patients
Health Imaging Partners, LLC CurrentSince Dec 20, 2024 Accepting new patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Sep 28, 2020 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Nov 4, 2020 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Crawford Andrews & Davis PTR Diagnostic Radiology CurrentSince Jan 23, 2025 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Diagnostic Radiology CurrentSince Apr 5, 2025 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.

View all 17

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": "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

Verify at the official NPI Registry.