Individual provider Active NPI

Kibrom Ghirmay Asrat, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Norwalk, CA
National Provider Identifier
1447556204
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4925 Issued in CA
Practice address
13132 Studebaker Rd Ste 1
Norwalk, CA 90650-2558
Phone
(562) 868-0700
Fax
(562) 888-6023
NPI assigned
Jan 26, 2011
Last updated
Feb 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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 E4925 CA Primary

Addresses

Primary practice location

13132 Studebaker Rd Ste 1
Norwalk, CA 90650-2558

Mailing address

13132 Studebaker Rd Ste 1
Norwalk, CA 90650-2558
Phone (562) 868-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20110803000199 CA Practitioner - Podiatry 2668641994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13132 Studebaker Rd
Suite 1
Norwalk, CA 90650-2558
Phone (562) 868-0700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue35
Removal of nail tissue4019
Removal or shaving of skin growth1441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4925CAMDFoot & Ankle Surgery Podiatrist
4925CAMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kibrom G. Asrat DPM Apc Inc. Current Accepting new patients
Kibrom G Asrat DPM Apc Foot & Ankle Surgery CurrentSince May 26, 2011 Accepting new patients
Harry E Confer DPM a Professional Corp Foot & Ankle Surgery Past Accepting new patients
Coast Plaza Doctors Hospital Past Accepting new patients

Locations

1234 Foothill Blvd
Ste 2
La Verne, CA 91750
Phone (909) 596-4879

13132 Studebaker Rd
Ste 1
Norwalk, CA 90650
Phone (562) 868-0700

13132 Studebaker Rd
Ste 6
Norwalk, CA 90650
Phone (562) 868-0700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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

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": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1447556204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13132 STUDEBAKER RD STE 1",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502558",
            "telephone_number": "562-868-0700",
            "fax_number": "562-888-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13132 STUDEBAKER RD STE 1",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502558",
            "telephone_number": "562-868-0700",
            "fax_number": "562-888-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASRAT",
        "first_name": "KIBROM",
        "middle_name": "GHIRMAY",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-26",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

Verify at the official NPI Registry.