DR. KALLI ANN RUSH (DPM) – Podiatrist, NPI 1073245262

DR. KALLI ANN RUSH (DPM) is a healthcare provider. based in Griswold, Iowa. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 412 (NE). The NPI Number for DR. KALLI ANN RUSH (DPM) is 1073245262

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. KALLI ANN RUSH (DPM)
NPI
1073245262
Phone
(712) 789-2208
Address
66859 550TH ST
Enumeration Date
27 June 2022
Last Update Date
29 October 2025

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
4022913123
Graduation Year
2022 (4 years ago)
PAC ID
2860909660
Group Practice PAC ID
9335044791
Professional Enrollment ID
I20250728000967
Address ID
NE680464193PA1413XSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:3State licenses:1Digital endpointsOther names

285 PODIATRY in MO

Provider Addresses for DR. KALLI ANN RUSH (DPM)

  • 66859 550TH ST

    GRISWOLD, IA 515356003

    Phone: (712) 789-2208

    Type: Mailing

  • 7900 LEES SUMMIT RD

    KANSAS CITY, MO 641391236

    Phone: (816) 404-7701

    Type: Location

  • 1413 S WASHINGTON ST STE 270

    PAPILLION, NE 680464193

    Phone: (402) 291-3123

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250728000967IPodiatryNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 51535)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335044791View full group profile
NameSpecialtyState
P O D I A T R YNE

Reviews

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Frequently asked questions

What NPI should I save for DR. KALLI ANN RUSH (DPM)?
Save NPI 1073245262 if you need a stable reference for DR. KALLI ANN RUSH (DPM).
Is DR. KALLI ANN RUSH (DPM) active in the national directory?
DR. KALLI ANN RUSH (DPM)'s public NPI profile is in an active state.
Can you summarize DR. KALLI ANN RUSH (DPM)'s specialty in plain language?
Clinically, the directory lists DR. KALLI ANN RUSH (DPM) with Podiatrist. Clinical services aligned with this taxonomy classification.
Where is DR. KALLI ANN RUSH (DPM)'s primary listing?
We display Griswold, Iowa because that is what the record indicates for DR. KALLI ANN RUSH (DPM).
How can I contact DR. KALLI ANN RUSH (DPM)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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