Look up the most recent NPI and PECOS records

Igor Kushner

Pediatrics

Allopathic & Osteopathic Physicians

5060 Southwestern Medical Ave., Dallas, TX 75235

PECOS Enrollment

Based on the most recent information from CMS, provider Igor Kushner is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 10:37 AM.

Profile Details

Provider ID
1316444383
Provider Type
Individual
Full Name
Kushner, Igor
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
4/6/2018
Last Updated
9/13/2021

Contact Information

Practice Location

5060 Southwestern Medical Ave., Dallas, TX 75235

(214) 456-2100

Unlisted Fax

Mailing Location

1919 E Thomas Rd, Phoenix, AZ 85016-7710

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License T0266 Texas
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Igor Kushner

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Dallas Physician Medical Services For Children Inc

Singh, Gunjan

Sanchez, Maria Josefina

Ut Southwestern Medical Center

Chen, Clifford Newton

Hummel, Heather Nicolle

Ocampo, Gabriela

Kim, Heidi

Escalante, Mirna

Day, Chelsea Alexandra