Kirubel Gebresenbet, DPM
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Garland, TX
NPI 1316398043 · NPPES record last updated Apr 2, 2026
Key facts
- NPI
- 1316398043
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 2388 (TX)
- Practice address
- 2910 Broadway Blvd Ste 212
Garland, TX 75041-3794 - Phone
- (619) 342-6199
- NPI assigned
- Jun 23, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- DFW Foot and Ankle Care LLC
Practice addresses (Care Compare)
2910 Broadway Blvd
Suite 212
Garland, TX 75041-3794
Phone (619) 342-6199
Hospital & facility affiliations
- Baylor Scott and White Medical Center Lake Pointe
- Medical City Dallas Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 244 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190524000744 | TX | Practitioner - Podiatry | 8820331390 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2388 | TX | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DFW Foot and Ankle Care LLC | Single Specialty | Current |
Accepting new patients |
| DFW Foot and Ankle Care LLC | Single Specialty | Current |
Accepting new patients |
| Kirusam LLC | Single Specialty | Current |
Accepting new patients |
| Advanced Foot Centre, PA | Past | Accepting new patients |
Locations
5012 S US Highway 75
Ste 270
Denison, TX 75020
Phone (469) 551-8595
2910 Broadway Blvd
Ste 212
Garland, TX 75041
Phone (469) 551-8595
9720 Coit Rd
Ste 220224
Plano, TX 75025
4508 Legacy Dr
Ste 200
Plano, TX 75024
Phone (214) 377-4833
399 W Campbell Rd
Ste 130
Richardson, TX 75080
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JAGDCD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | 2388 | TX | Yes |
Addresses
Primary practice location
2910 Broadway Blvd Ste 212
Garland, TX 75041-3794
Mailing address
2080 Glencoe Dr
Rockwall, TX 75087-2400
Phone (972) 435-6096
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2388 | Other | TX | TEXAS DEPARTMENT OF LICENSING AND REGULATION |
Other providers in Garland, TX
- Michelle Lee Gascot
- Tewodros Kebede Gashaw
- Gateway Eye Center LLC
- Gatewood Pharmacy PLLC
- Anne Prescott Gault
- Rhonda G Gelbar
- Roxanne Laine Gelbar
- Generation One Billing LLC
- Genesis Wheelchair Services LLC
- George and Gate Consulting
All providers in Garland, TX · Foot & Ankle Surgery Podiatrist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.