NPIMap

Individual provider Active NPI

Shelley Cronin Short, MD

  • Family Medicine Physician
  • Powhatan, VA
National Provider Identifier
1275502429
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101052979 Issued in VA
Practice address
3510 Anderson Hwy Ste a
Powhatan, VA 23139-5846
Phone
(804) 598-3100
Fax
(804) 556-6526
NPI assigned
Mar 17, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 0101052979 VA Primary

Addresses

Primary practice location

3510 Anderson Hwy Ste a
Powhatan, VA 23139-5846

Mailing address

3510 Anderson Hwy Ste a
Powhatan, VA 23139-5846
Phone (804) 598-3100

Other identifiers 3

IdentifierTypeStateIssuer
112758OtherVABCBS(ANTHEM)
1275502429MedicaidVA
005628105MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20101012000495 VA Practitioner - Family Practice 8729270582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Virginia School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virginia Physicians IncGroup PAC ID 5597650804, 93 clinicians

Practice addresses (Care Compare)

3510 Anderson Hwy a
Powhatan, VA 23139-5846
Phone (804) 598-3100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101052979VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Physicians Inc Family Medicine Current Accepting new patients
Virginia Physicians Inc Family Medicine Current Accepting new patients
Virginia Physicians Inc Family Medicine CurrentSince Jan 2, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Virginia Physicians, Inc. Family Medicine Past Accepting new patients

Locations

13332 Midlothian Tpke
Midlothian, VA 23113
Phone (804) 794-5598

15769 Wc Main St
Midlothian, VA 23113
Phone (804) 419-9760

3000 Watercove Rd
Midlothian, VA 23112
Phone (804) 744-0200

3510 Anderson Hwy
Ste A
Powhatan, VA 23139
Phone (804) 598-3100

Interoperability endpoints

  • Direct secure messaging: shelley.short@vpi.eclinicaldirectplus.com

Organizations & group practices 5

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 29

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1275502429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 ANDERSON HWY STE A",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231395846",
            "telephone_number": "804-598-3100",
            "fax_number": "804-598-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 ANDERSON HWY STE A",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231395846",
            "telephone_number": "804-598-3100",
            "fax_number": "804-556-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "SHELLEY",
        "middle_name": "CRONIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101052979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS(ANTHEM)",
            "identifier": "112758",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275502429",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005628105",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Powhatan, VA

Sources for this page

Verify at the official NPI Registry.