Individual provider Active NPI

Jawad Ahmad Qureshi, MD

  • Ophthalmology Physician
  • Southlake, TX
National Provider Identifier
1811926769
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
M9592 Issued in TX
Practice address
305 Morrison Park Dr Ste 100
Southlake, TX 76092-1352
Phone
(817) 865-6800
NPI assigned
Jul 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X M9592 TX Primary

Addresses

Primary practice location

305 Morrison Park Dr Ste 100
Southlake, TX 76092-1352

Mailing address

305 Morrison Park Dr Ste 100
Southlake, TX 76092-1352
Phone (181) 786-5680

Other practice location 1

12222 N Central Expy Ste 250
Dallas, TX 75243-3762
Phone (817) 865-6800

Other practice location 2

3455 Locke Ave Ste 310
Fort Worth, TX 76107-5747
Phone (817) 865-6800

Other practice location 3

3804 W 15th St Ste 130
Plano, TX 75075-4752
Phone (817) 865-6800

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
I20080812000825 TX Practitioner - OphthalmologyPractitioner - Other (Physician) 5799780102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Duke University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jawad a Qureshi MD PAGroup PAC ID 6406032036, 7 clinicians

Practice addresses (Care Compare)

12222 N Central Expy
Suite 250
Dallas, TX 75243-3762
Phone (817) 865-6800

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jawad a Qureshi MD PA Ophthalmology CurrentSince Dec 27, 2010 Accepting new patients
Texas Elite Health Clinic, LLC Current Accepting new patients
Snigdha OBGYN PLLC Past Accepting new patients
Texas Retina Associates Ophthalmology Past Accepting new patients
Aaleya Koreishi MD PA Ophthalmology Past Accepting new patients
Texas Retina Associates Ophthalmology Past Accepting new patients

Locations

7150 Greenville Ave
Ste 200
Dallas, TX 75231
Phone (214) 891-0466

12222 N Central Expy
Ste 250
Dallas, TX 75243
Phone (817) 865-6800

3455 Locke Ave
Ste 310
Fort Worth, TX 76107
Phone (817) 865-6800

2321 Ira E Woods Ave
Ste 200
Grapevine, TX 76051
Phone (817) 865-6800

3804 W 15th St
Ste 130
Plano, TX 75075
Phone (817) 865-6800

305 Morrison Park Dr
Ste 100
Southlake, TX 76092
Phone (817) 865-6800

Interoperability endpoints

  • Direct secure messaging: jqureshi@direct.uspi.com
  • Direct secure messaging: jqureshi@rctx.intellechartdirect.net
  • Direct secure messaging: jqureshi@direct.jqureshi.nextgenshare.com

Organizations & group practices 6

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1811926769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MORRISON PARK DR STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760921352",
            "telephone_number": "181-786-5680",
            "fax_number": "817-865-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MORRISON PARK DR STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760921352",
            "telephone_number": "817-865-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12222 N Central Expy Ste 250",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752433762",
            "country_code": "US",
            "telephone_number": "817-865-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3455 Locke Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761075747",
            "country_code": "US",
            "telephone_number": "817-865-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3804 W 15th St Ste 130",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750754752",
            "country_code": "US",
            "telephone_number": "817-865-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "JAWAD",
        "middle_name": "AHMAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2023-10-09",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "M9592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.