KIMBERLY RUSH M.D
NPI 1477971497
Pediatrics - Pediatric Critical Care Medicine in Syracuse, NY

Q: What is Kimberly Rush's NPI number?

The NPI number for Kimberly Rush is 1477971497. It was assigned to this individual provider in the NPPES registry on April 7, 2014.

Q: What is Kimberly Rush's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Rush was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

Active since April 07, 2014PECOS EnrolledAccepts Medicare Assignment

750 EAST ADAMS ST, SYRACUSE, NY 13210(315) 464-5450(315) 464-6322 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kimberly Rush M.d NPPES

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

KIMBERLY RUSH M.D (NPI 1477971497) is an individual pediatric critical care medicine provider in Syracuse, New York, licensed in New York (305666) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1477971497

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameKIMBERLY RUSHCredential: M.D

Location Address750 EAST ADAMS STSyracuse, NY 13210

Mailing Address251 Salina Meadows Pkwy, Ste 100Syracuse, NY 13212-4516 · (315) 464-2000 · Fax (315) 464-2010

Phone(315) 464-5450

Fax(315) 464-6322

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateApril 7, 2014

Last NPPES UpdateJuly 27, 2020

NPPES CertifiedJuly 27, 2020

✔ NPI 1477971497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in NY · 305666

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

750 EAST ADAMS ST, Syracuse, NY 13210

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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

Kimberly Rush 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 ID5193948883

PECOS Enrollment IDI20200727001844

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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