Kirusam LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

KIRUSAM LLC

Practice address

2910 Broadway Blvd Ste 212
Garland, TX 75041-3794

Phone

(972) 435-6096

Fax

(972) 521-6953

NPI assigned

Oct 18, 2025

Organization subpart

No

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

Authorized official

Name

Kirubel T GebresenbetNPI 1316398043

Title

Manager

Phone

(972) 435-6096

Specialties & licenses 1

Addresses

Other names 1

• Broadway G foot ankle and wound care Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kirubel Gebresenbet, DPM

  • Foot & Ankle Surgery Podiatrist
  • Garland, TX
  • NPI 1316398043

  Single Specialty, TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1760745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1487521134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 GLENCOE DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750872400",
            "telephone_number": "972-435-6096",
            "fax_number": "972-521-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 BROADWAY BLVD STE 212",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750413794",
            "telephone_number": "972-435-6096",
            "fax_number": "972-521-6953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRUSAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-18",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "GEBRESENBET",
        "authorized_official_first_name": "KIRUBEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-435-6096"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway G foot ankle and wound care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chelsey Nicole Kinney, M.A.
• Rael Kirarei, FNP
• Kirk Counseling LLC
• Kimberly Kirk, L.P.C.
• Shelia Kirksey, LCSW
• Agnieszka Kitowicz, M.D.
• Klarus Home Care LLC
• Kleen Dental PLLC
• Jeffrey B Klein, MD
• Klesmit Chiropractic Offices, P.a.

• All providers in Garland, TX
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.