DR. JEREMY KEITH RUSH M.D. NPI 1477756625

NPI Information

  • NPI: 1477756625
  • Provider Name: DR. JEREMY KEITH RUSH, M.D.
  • Classification: Orthopaedic Surgery - 207XP3100X
  • Specialization: Pediatric Orthopaedic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4499 MEDICAL DR STE 235
    SAN ANTONIO, TX
    ZIP 78229
  • Phone: (210) 692-1613

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NPI Details

DR. Jeremy Keith Rush, M.D. is a pediatric orthopaedic surgery orthopaedic surgery in San Antonio, TX. The provider is an orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. DR. Jeremy Keith Rush, M.D. NPI is 1477756625. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4499 MEDICAL DR STE 235
SAN ANTONIO, TX
ZIP 78229-712
Phone: (210) 692-1613
Fax: (210) 692-7557

The NPI 1477756625 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/6/2007 and was last updated on 11/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XX0005XOrthopaedic SurgerySports MedicineP4376TEXASNo
2207XP3100XOrthopaedic SurgeryPediatric Orthopaedic SurgeryP4376TEXASYes
3207X00000XOrthopaedic SurgeryP4376TEXASNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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