Individual provider Active NPI

Matthew William Short, MD

  • Family Medicine Physician
  • Republic, WA
National Provider Identifier
1083877005
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD61107739 Issued in WA
Practice address
10 Ros Cir
Republic, WA 99166-5002
Phone
(509) 775-3153
NPI assigned
Jul 9, 2008
Last updated
Sep 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD61107739 WA Primary

Addresses

Primary practice location

10 Ros Cir
Republic, WA 99166-5002

Mailing address

10 Ros Cir
Republic, WA 99166-5002
Phone (509) 775-3153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20101215000838 WA Practitioner - Family Practice 5496942583 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10 Ros Cir
Republic, WA 99166-5002
Phone (509) 775-3245

36 Klondike Rd
Republic, WA 99166-9700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
29.6 of 100Reported as group
Quality
32.46
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ferry County Public Hospital District No 1 CurrentSince Sep 1, 2021 Accepting new patients
Ferry County Public Hospital District No 1 CurrentSince Sep 1, 2021 Accepting new patients
Ferry County Public Hospital District No 1 CurrentSince Feb 3, 2026 Accepting new patients

Locations

10 Ros Cir
Republic, WA 99166
Phone (509) 775-3153

36 Klondike Rd
Republic, WA 99166
Phone (509) 775-3153

Interoperability endpoints

  • Direct secure messaging: matthew.short@ferrycohealth.com
  • Direct secure messaging: matthewshort@fcphd.securechart.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1083877005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ROS CIR",
            "city": "REPUBLIC",
            "state": "WA",
            "postal_code": "991665002",
            "telephone_number": "509-775-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ROS CIR",
            "city": "REPUBLIC",
            "state": "WA",
            "postal_code": "991665002",
            "telephone_number": "509-775-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "MATTHEW",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61107739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Republic, WA

Sources for this page

Verify at the official NPI Registry.