QURETUL QURESH M.D
NPI 1396056966
Internal Medicine - Rheumatology in Allen, TX

Active since June 28, 2010PECOS EnrolledAccepts Medicare Assignment
931 STATE HWY 121, BLDG 1, SUITE 1100, COTTONWOOD CREEK PROFESSIONAL OFFICE PARK, ALLEN, TX 75013(972) 674-9910 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 31, 2023, Oct 29, 2022, Oct 11, 2022 and 3 more (6 updates tracked since 2018).

About Quretul Quresh M.d NPPES

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

QURETUL QURESH M.D (NPI 1396056966) is an individual rheumatology provider in Allen, Texas, licensed in Texas (R8466) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Texoma Medical Center, and maintains a secondary practice location in Denison.

NPPES Registry Identity

NPI1396056966
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameQURETUL QURESHCredential: M.D
Location Address931 STATE HWY 121, BLDG 1, SUITE 1100, COTTONWOOD CREEK PROFESSIONAL OFFICE PARKAllen, TX 75013
Mailing Address1022 Kenilworth StAllen, TX 75013-5828 · (972) 674-9910 · Fax (972) 666-5166
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 28, 2010
Last NPPES UpdateAugust 31, 20236 updates tracked since enumeration
NPPES CertifiedAugust 31, 2023
NPI 1396056966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in TX · R8466
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedInternal MedicineTaxonomy 207R00000X · License 244983 (MA), 36142 (SC), R8466 (TX)
931 STATE HWY 121, BLDG 1, SUITE 1100, Allen, TX 75013

Secondary Practice Location 1

Location 15012 US Hwy 75 Ste 205Denison, TX 75020-4635 · Phone (972) 674-9910

Other Identifiers 1

Medicaid406561701TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Quretul Quresh M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143457077
PECOS Enrollment IDI20191002002859
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
174 services78 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
42 services42 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Texoma Medical Center

Acute Care Hospitals · Denison, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450324
Location5016 S Us Highway 75Denison, TX 75020 · Grayson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Quretul Quresh's NPI number?

The NPI number for Quretul Quresh is 1396056966. It was assigned to this individual provider in the NPPES registry on June 28, 2010.

Where is Quretul Quresh located?

Quretul Quresh practices at 931 State Hwy 121, Bldg 1, Suite 1100 Cottonwood Creek Professional Office Park, Allen, TX 75013. The listed phone number is (972) 674-9910.

What is Quretul Quresh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Quretul Quresh enrolled in Medicare?

Yes. Quretul Quresh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Quretul Quresh accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Quretul Quresh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Quretul Quresh affiliated with any hospitals?

According to CMS data, Quretul Quresh is affiliated with Texoma Medical Center.

When was this NPI record last updated?

The NPPES record for Quretul Quresh was last updated on August 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.