Active NPI
Qurratulain Yousuf, PA-C
- Physician Assistant
- Grapevine, TX
National Provider Identifier
1336893916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA15549
- Practice address
- 1120 S Main St Ste 100
Grapevine, TX 76051-5640 - Phone
- (817) 416-5554
- NPI assigned
- Feb 11, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | PA15549 | TX | Primary |
Addresses
Primary practice location
1120 S Main St Ste 100
Grapevine, TX 76051-5640
Mailing address
6011 Harry Hines Blvd
Dallas, TX 75235-5386
Phone (214) 645-8250
Other practice location 1
3166 S State Highway 161 Ste 170
Grand Prairie, TX 75052-7720
Phone (972) 640-0005
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas Pediatrics & Infectious Disease Associates | Current | Accepting new patients | |
| Little Spurs Pediatric Urgent Care, PLLC | Past | Accepting new patients |
Locations
1120 S Main St
Ste 100
Grapevine, TX 76051
Phone (817) 416-5554
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Frisco, TX
- NPI 1568622272
-
- Pediatrics Physician
- Grapevine, TX
- NPI 1386833374
-
- Urgent Care Clinic/Center
- San Antonio, TX
- NPI 1780673319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698537600000",
"number": "1336893916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6011 HARRY HINES BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752355386",
"telephone_number": "214-645-8250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 S MAIN ST STE 100",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760515640",
"telephone_number": "817-416-5554"
}
],
"practiceLocations": [
{
"address_1": "3166 S State Highway 161 Ste 170",
"address_purpose": "LOCATION",
"city": "Grand Prairie",
"state": "TX",
"postal_code": "750527720",
"country_code": "US",
"telephone_number": "972-640-0005",
"fax_number": "210-314-5044",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUSUF",
"first_name": "QURRATULAIN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-11",
"last_updated": "2023-10-29",
"certification_date": "2023-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA15549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.