NPIMap

Individual provider Active NPI

Kevin Short, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Allentown, PA
National Provider Identifier
1053673897
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC006625 Issued in PA
Practice address
2414 Walbert Ave
Allentown, PA 18104-1326
Phone
(610) 434-7000
Fax
(610) 434-7029
NPI assigned
Jun 7, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2016

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 SC006625 PA Primary

Addresses

Primary practice location

2414 Walbert Ave
Allentown, PA 18104-1326

Mailing address

2414 Walbert Ave
Allentown, PA 18104-1326
Phone (610) 434-7000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150625000209 PA Practitioner - Podiatry 1456662949 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allentown Family Foot Care Professional CorporationGroup PAC ID 8921900804, 8 clinicians

Practice addresses (Care Compare)

2100 Hanover Ave
Allentown, PA 18109-2447
Phone (610) 434-2000

Hospital & facility affiliations

  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049

Merit-based Incentive Payment System (MIPS)

Final score
82.37 of 100Reported as group
Quality
72.44
Promoting interoperability
86
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions15
Removal of nail tissue1644
Removal or shaving of skin growth177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006625PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. CurrentSince Jul 1, 2016 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Star Community Health, Inc CurrentSince Mar 23, 2019 Accepting new patients
Star Community Health, Inc CurrentSince Mar 23, 2019 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jul 1, 2016 Accepting new patients
Allentown Family Foot Care Professional Corporation CurrentSince Jul 6, 2015 Accepting new patients

Locations

2414 Walbert Ave
Allentown, PA 18104
Phone (610) 434-7000

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

511 E 3rd St
Ste 200
Bethlehem, PA 18015
Phone (484) 526-4700

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8jbgxuNWdtuelGLFHIXdkqcQh-JLjFrK/

Organizations & group practices 6

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.

Hospital & facility affiliations 11

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": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1053673897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 WALBERT AVE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181041326",
            "telephone_number": "610-434-7000",
            "fax_number": "610-434-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 WALBERT AVE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181041326",
            "telephone_number": "610-434-7000",
            "fax_number": "610-434-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-07",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.