Individual provider Active NPI

Salman Tarique, MD

  • Vascular Neurology Physician
  • Fort Worth, TX
National Provider Identifier
1891258646
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
4301509489 Issued in MI
Practice address
713 Grainger St
Fort Worth, TX 76104-3261
Phone
(817) 336-3968
NPI assigned
Apr 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Neurology Physician 2084V0102X 4301509489 MI Primary

Addresses

Primary practice location

713 Grainger St
Fort Worth, TX 76104-3261

Mailing address

713 Grainger St
Fort Worth, TX 76104-3261
Phone (817) 336-3968

Other practice location 1

2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-5514

Other practice location 2

100 Michigan St NE
Grand Rapids, MI 49503-2560
Phone (616) 391-1774

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
I20241104003109 TX Practitioner - Neurology 1254663685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tarrant Neurology Consultants, P.a.Group PAC ID 3072709369, 10 clinicians

Practice addresses (Care Compare)

713 Grainger St
Fort Worth, TX 76104-3261
Phone (817) 336-3968

Hospital & facility affiliations

  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
  • Texas Health Harris Methodist Hospital Stephenvill Hospital, Stephenville, TX, CCN 450351

Merit-based Incentive Payment System (MIPS)

Final score
85.35 of 100Reported as group
Quality
67.91
Improvement activities
40
Cost
80.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301509489MIMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tarrant Neurology Consultants, P.a. CurrentSince Aug 16, 2024 Accepting new patients
Vinit Mehrotra, MD, PA PastSince Aug 16, 2024 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJJIAA

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1891258646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 GRAINGER ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043261",
            "telephone_number": "817-336-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 GRAINGER ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043261",
            "telephone_number": "817-336-3968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164500",
            "country_code": "US",
            "telephone_number": "601-984-5514",
            "fax_number": "601-984-5503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Michigan St NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495032560",
            "country_code": "US",
            "telephone_number": "616-391-1774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARIQUE",
        "first_name": "SALMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-09",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "MI",
            "license": "4301509489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.