Individual provider Active NPI

Jackson Thomas Crough, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Rancho Mirage, CA
National Provider Identifier
1306100722
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5290 Issued in CA
Practice address
39000 Bob Hope Dr, Harry and Diane Rinker BLG
Rancho Mirage, CA 92270-3212
Phone
(760) 568-2684
Fax
(760) 341-5832
NPI assigned
Jun 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5290 CA Primary

Addresses

Primary practice location

39000 Bob Hope Dr, Harry and Diane Rinker BLG
Rancho Mirage, CA 92270-3212

Mailing address

PO Box 1730
Rancho Mirage, CA 92270-1058
Phone (760) 568-2684

Other practice location 1

45280 Seeley Dr Fl 2
LA Quinta, CA 92253-6834
Phone (760) 568-2684

Other practice location 2

151 S Sunrise Way Ste 100
Palm Springs, CA 92262-0129
Phone (760) 568-2684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150821014290 VA Practitioner - Podiatry 4385959113
I20170210001176 CA Practitioner - Podiatry 4385959113 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Orthopedic Center a Medical Group Inc 49 clinicians

Practice addresses (Care Compare)

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 568-2684

Hospital & facility affiliations

  • Suncrest Home Health Services Inc Home health agency, Chino, CA, CCN 059259
  • Suncrest Healthcare Home health agency, Palm Desert, CA, CCN 757159
  • Greater Home Health Care Incorporated Home health agency, Torrance, CA, CCN 059001
  • Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573
  • Desert Regional Medical Center Hospital, Palm Springs, CA, CCN 050243

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue337
Removal of nail tissue1-10
Removal or shaving of skin growth19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E5290CAMDFoot & Ankle Surgery Podiatrist

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Crough Podiatry Foot & Ankle Surgery CurrentSince Nov 1, 2016 Accepting new patients
Internal Medicine Specialists Inc CurrentSince May 1, 2017 Accepting new patients
Desert Orthopedic Center a Medical Group Inc CurrentSince Sep 30, 2025 Accepting new patients

Locations

47647 Caleo Bay Dr
Ste 110
La Quinta, CA 92253
Phone (760) 323-4325

45280 Seeley Dr
Fl 2
La Quinta, CA 92253
Phone (760) 834-7920

151 S Sunrise Way
Ste 100
Palm Springs, CA 92262

1180 N Indian Canyon Dr
Ste W201
Palm Springs, CA 92262
Phone (760) 416-4575

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

777 E Tahquitz Canyon Way
Ste 200096
Palm Springs, CA 92262

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

72780 Country Club Dr
Ste 100
Rancho Mirage, CA 92270
Phone (760) 773-9750

39700 Bob Hope Dr
Ste 310
Rancho Mirage, CA 92270

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jcrough50757@edirect.emc.org

Organizations & group practices 3

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 5

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": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1306100722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1730",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701058",
            "telephone_number": "760-568-2684",
            "fax_number": "760-341-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR, HARRY AND DIANE RINKER BLG",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703212",
            "telephone_number": "760-568-2684",
            "fax_number": "760-341-5832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45280 Seeley Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "LA Quinta",
            "state": "CA",
            "postal_code": "922536834",
            "country_code": "US",
            "telephone_number": "760-568-2684",
            "fax_number": "760-341-5832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 S Sunrise Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922620129",
            "country_code": "US",
            "telephone_number": "760-568-2684",
            "fax_number": "760-341-5832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROUGH",
        "first_name": "JACKSON",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-29",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.