Active NPI
Maurice G Syrquin, MD
- Retina Specialist (Ophthalmology) Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- H9162
- Practice address
- 3414 Oak Grove Ave
Dallas, TX 75204-2375 - Phone
- (214) 521-1153
- Fax
- (214) 219-3651
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | H9162 | TX | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | G69442 | CA | |
| Ophthalmology Physician | 207W00000X | G69442 | CA | |
| Ophthalmology Physician | 207W00000X | 73015 | MA | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | H9162 | TX | Primary |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 73015 | MA |
Addresses
Primary practice location
3414 Oak Grove Ave
Dallas, TX 75204-2375
Mailing address
3414 Oak Grove Ave
Dallas, TX 75204-2375
Phone (214) 521-1153
Other practice location 1
1010 E Interstate 20
Arlington, TX 76018-2107
Phone (817) 417-7769
Other practice location 2
3331 Unicorn Lake Blvd
Denton, TX 76210-0102
Phone (940) 381-9100
Other practice location 3
400 W Lyndon B Johnson Fwy Ste 320
Irving, TX 75063-3717
Phone (972) 869-1242
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128119807 | Medicaid | TX | |
| 180043891 | Other | TX | RR MEDICARE GRP CJ5857 |
| 128119804 | Medicaid | TX | |
| 5365042 | Other | TX | AETNA |
| 805833 | Other | TX | BCBS/GRP 00T587 |
| 128119806 | Medicaid | TX | |
| 200052580A | Medicaid | OK |
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
- Ophthalmology
- Education
- Tufts University School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 E I
Suite 20
Arlington, TX 76018-2107
Phone (817) 417-7769
Hospital & facility affiliations
- Baylor Surgical Hospital at Las Colinas
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.15 of 100
- Quality
- 98.3
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G69442 | CA | MD | Ophthalmology Physician |
| 73015 | MA | MD | Retina Specialist (Ophthalmology) Physician |
| H9162 | TX | MD | Retina Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Retina Institute of Texas PA | Ophthalmology | Current | Accepting new patients |
| Retina Institute of Texas PA | Ophthalmology | Current | Accepting new patients |
| Burlingame Surgical Center, PA | Past | Accepting new patients | |
| RGB Eye Associates,PA | Ophthalmology | Past | Accepting new patients |
Locations
1010 E Interstate 20
Arlington, TX 76018
Phone (817) 417-7769
3414 Oak Grove Ave
Dallas, TX 75204
Phone (214) 521-1153
3331 Unicorn Lake Blvd
Denton, TX 76210
Phone (940) 381-9100
400 W Lyndon B Johnson Fwy
Ste 320
Irving, TX 75063
Phone (972) 869-1242
1303 N Travis St
Sherman, TX 75092
Interoperability endpoints
- msyrquin@direct.uspi.com
- maurice.syrquin@riot.directbygreenway.com
Organizations & group practices 4
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.
-
- Retina Specialist (Ophthalmology) Physician
- Dallas, TX
- NPI 1326097460
-
- Retina Specialist (Ophthalmology) Physician
- Dallas, TX
- NPI 1578673026
-
- Ambulatory Surgical Clinic/Center
- Sherman, TX
- NPI 1013914316
-
- Ophthalmology Physician
- Sherman, TX
- NPI 1508863994
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Irving, TX
- NPI 1992772008
-
- General Acute Care Hospital
- Irving, TX
- NPI 1669569984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1376501635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3414 OAK GROVE AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752042375",
"telephone_number": "214-521-1153",
"fax_number": "214-219-3651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3414 OAK GROVE AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752042375",
"telephone_number": "214-521-1153",
"fax_number": "214-219-3651"
}
],
"practiceLocations": [
{
"address_1": "1010 E Interstate 20",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "TX",
"postal_code": "760182107",
"country_code": "US",
"telephone_number": "817-417-7769",
"fax_number": "817-417-7405",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3331 Unicorn Lake Blvd",
"address_purpose": "LOCATION",
"city": "Denton",
"state": "TX",
"postal_code": "762100102",
"country_code": "US",
"telephone_number": "940-381-9100",
"fax_number": "940-381-9106",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 W Lyndon B Johnson Fwy Ste 320",
"address_purpose": "LOCATION",
"city": "Irving",
"state": "TX",
"postal_code": "750633717",
"country_code": "US",
"telephone_number": "972-869-1242",
"fax_number": "972-869-2921",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SYRQUIN",
"first_name": "MAURICE",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "H9162",
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "CA",
"license": "G69442",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "G69442",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MA",
"license": "73015",
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "TX",
"license": "H9162",
"primary": true
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "MA",
"license": "73015",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128119807",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GRP CJ5857",
"identifier": "180043891",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128119804",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5365042",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS/GRP 00T587",
"identifier": "805833",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128119806",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200052580A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.