Individual provider Active NPI

Kalli Ann Rush, DPM

  • Podiatrist
  • Papillion, NE
National Provider Identifier
1073245262
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
412 Issued in NE
Practice address
1413 S Washington St Ste 270
Papillion, NE 68046-4193
Phone
(402) 291-3123
NPI assigned
Jun 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 412 NE Primary

Addresses

Primary practice location

1413 S Washington St Ste 270
Papillion, NE 68046-4193

Mailing address

1413 S Washington St Ste 270
Papillion, NE 68046-4193
Phone (402) 291-3123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250728000967 NE Practitioner - Podiatry 2860909660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellevue Foot Center, P.C.Group PAC ID 9335044791, 2 clinicians
Cass County Memorial HospitalGroup PAC ID 5294634994, shared by 9 NPIs, 67 clinicians

Practice addresses (Care Compare)

1413 S Washington St
270 Papillion Foot and Ankle Ctr
Papillion, NE 68046-4193
Phone (402) 291-3123

1501 E 10TH St
Atlantic, IA 50022-1936
Phone (712) 243-3250

Hospital & facility affiliations

  • CHI Health Midlands Hospital, Papillion, NE, CCN 280105
  • Cass County Memorial Hospital Hospital, Atlantic, IA, CCN 161376

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions11
Removal of nail tissue34
Removal or shaving of skin growth20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
412NEMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bellevue Foot Center, P.C. Podiatrist CurrentSince Jul 28, 2025 Accepting new patients

Locations

1413 S Washington St
Ste 270
Papillion, NE 68046
Phone (402) 291-3123

Interoperability endpoints

  • Direct secure messaging: krush457282@direct.saint-lukes.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1073245262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 S WASHINGTON ST STE 270",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464193",
            "telephone_number": "402-291-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 S WASHINGTON ST STE 270",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464193",
            "telephone_number": "402-291-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH",
        "first_name": "KALLI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NE",
            "license": "412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

Verify at the official NPI Registry.