DR. KIRMANJ TAHSIN ATRUSHI D.P.M.
NPI 1871026179
Podiatrist - Foot & Ankle Surgery in Jackson, CA

Q: What is Kirmanj Atrushi's NPI number?

The NPI number for Kirmanj Atrushi is 1871026179. It was assigned to this individual provider in the NPPES registry on April 4, 2017.

Q: What is Kirmanj Atrushi's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Kirmanj Atrushi was last updated on March 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 04, 2017PECOS Enrolled

12150 NEW YORK RANCH RD, JACKSON, CA 95642(209) 257-2400(209) 257-2403 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 8, 2024, Apr 14, 2021, May 26, 2020 (3 updates tracked since 2020).

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About Dr. Kirmanj Tahsin Atrushi D.p.m. NPPES

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

DR. KIRMANJ TAHSIN ATRUSHI D.P.M. (NPI 1871026179) is an individual foot & ankle surgery provider in Jackson, California, licensed in California (5968) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of William M. Scholl College Of Podiatric Medicine (2017).

NPPES Registry Identity

NPI1871026179

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. KIRMANJ TAHSIN ATRUSHICredential: D.P.M.

Location Address12150 NEW YORK RANCH RDJackson, CA 95642-9407

Mailing AddressPo Box 939Angels Camp, CA 95222-0939 · (209) 754-6262 · Fax (209) 398-8760

Phone(209) 257-2400

Fax(209) 257-2403

Sole ProprietorNo

Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 2017

Enumeration DateApril 4, 2017

Last NPPES UpdateMarch 8, 20243 updates tracked since enumeration

NPPES CertifiedMarch 8, 2024

✔ NPI 1871026179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

Licenses✔ Licensed in CA · 5968✔ Licensed in GA · POD001442

12150 NEW YORK RANCH RD, Jackson, CA 95642

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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 (PECOS)

Dr. Kirmanj Tahsin Atrushi D.p.m. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911329354

PECOS Enrollment IDI20210301002396, I20240321002694

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 15

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

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