Individual provider Active NPI

Jeremy Keith Rush, M.D.

  • Pediatric Orthopaedic Surgery Physician
  • San Antonio, TX
National Provider Identifier
1477756625
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
P4376 Issued in TX
Practice address
4499 Medical Dr Ste 235
San Antonio, TX 78229-3712
Phone
(210) 692-1613
Fax
(210) 692-7557
NPI assigned
Jun 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X P4376 TX
Pediatric Orthopaedic Surgery Physician 207XP3100X P4376 TX Primary
Orthopaedic Surgery Physician 207X00000X P4376 TX

Addresses

Primary practice location

4499 Medical Dr Ste 235
San Antonio, TX 78229-3712

Mailing address

4499 Medical Dr Ste 235
San Antonio, TX 78229-3712
Phone (210) 692-1613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140423001208 TX Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 4385814649 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P4376TXMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Physician Practices, PLLC CurrentSince Jan 2, 2026 Accepting new patients
Sports Medicine Associates of San Antonio, PA Sports Medicine CurrentSince Aug 1, 2022 Accepting new patients
Sports Medicine Associates of San Antonio, PA Orthopaedic Surgery CurrentSince Aug 1, 2022 Accepting new patients
CC Bpci PLC Orthopaedic Surgery Past Accepting new patients
Sports Medicine Associates of San Antonio, PA Past Accepting new patients

Locations

112 Herff Rd
Ste 300
Boerne, TX 78006

12500 Judson Rd
Ste 201
Live Oak, TX 78233
Phone (210) 314-1071

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

8811 Village Dr
San Antonio, TX 78217
Phone (210) 297-2000

21 Spurs Ln
Ste 340
San Antonio, TX 78240
Phone (210) 590-4000

1 Camino Santa Maria St
San Antonio, TX 78228
Phone (210) 431-5043

5917 Broadway
Ste 340
San Antonio, TX 78209

430 W Sunset Rd
Ste 440
San Antonio, TX 78209

10622 State Highway 151
Ste 205
San Antonio, TX 78251

111 Dallas St
Fl 4
San Antonio, TX 78205
Phone (210) 297-7195

4499 Medical Dr
Ste 235
San Antonio, TX 78229
Phone (210) 692-1613

21 Spurs Ln
Ste 210
San Antonio, TX 78240
Phone (832) 621-0699

21 Spurs Ln
Ste 300
San Antonio, TX 78240
Phone (210) 561-7137

Interoperability endpoints

  • Direct secure messaging: jeremy.rush@hca7.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1477756625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DR STE 235",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293712",
            "telephone_number": "210-692-1613",
            "fax_number": "210-692-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DR STE 235",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293712",
            "telephone_number": "210-692-1613",
            "fax_number": "210-692-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH",
        "first_name": "JEREMY",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "P4376",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "TX",
            "license": "P4376",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "P4376",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.