HENRY G RAROQUE JR MD PA
NPI 1174713150
Psychiatry & Neurology - Neurology in Irving, TX

Active since July 26, 2007
1215 KINWEST PKWY STE 120, IRVING, TX 75063(214) 496-0500(214) 496-0922 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Henry G Raroque Jr Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HENRY G RAROQUE JR MD PA (NPI 1174713150), doing business as Sni, is a healthcare organization registered as a neurology in Irving, Texas and active in the NPI registry since July 2007. The organization lists Jennifer Sage, Manager, as its authorized official.

NPPES Registry Identity

NPI1174713150
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameHENRY G RAROQUE JR MD PA
Location Address1215 KINWEST PKWY STE 120Irving, TX 75063-3403
Mailing Address1215 Kinwest Pkwy Ste 120Irving, TX 75063-3403 · (214) 496-0500 · Fax (214) 496-0922
Fax(214) 496-0922
Organization SubpartNo
Authorized OfficialJennifer SageManager · (214) 496-0500
Enumeration DateJuly 26, 2007
Last NPPES UpdateMay 28, 2026
NPPES CertifiedMay 28, 2026
✔ NPI 1174713150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Sleep MedicineTaxonomy 2084S0012X
1215 KINWEST PKWY STE 120, Irving, TX 75063

Other Names 2

Doing Business AsSni
Doing Business AsSouthwestern Neuroscience Institute

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Henry G Raroque Jr Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Henry G Raroque Jr MD PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1356753040
1215 KINWEST PKWY STE 120
Irving, TX 75063
(214) 496-0500
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1023077567
1215 KINWEST PKWY STE 120
Irving, TX 75063
(214) 496-0500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1578069381
2700 W PLEASANT RUN RD STE 220
Lancaster, TX 75146
(888) 871-1883
✔ PECOS✔ Accepts Medicare23 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Henry G Raroque Jr MD PA's NPI number?

The NPI number for Henry G Raroque Jr MD PA is 1174713150. It was assigned to this organization in the NPPES registry on July 26, 2007. The provider is doing business as Sni and Southwestern Neuroscience Institute.

Where is Henry G Raroque Jr MD PA located?

Henry G Raroque Jr MD PA is located at 1215 Kinwest Pkwy Ste 120, Irving, TX 75063. The listed phone number is (214) 496-0500.

What is Henry G Raroque Jr MD PA's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Henry G Raroque Jr MD PA enrolled in Medicare?

Yes. Henry G Raroque Jr MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Henry G Raroque Jr MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Henry G Raroque Jr MD PA, in Neurology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Henry G Raroque Jr MD PA was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.