Individual provider Active NPI

Tracy A. Short, PA

  • Endocrinology, Diabetes & Metabolism Physician
  • El Paso, TX
National Provider Identifier
1316957178
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
PA03216 Issued in TX
Practice address
1201 E Schuster Ave
BLDG 7
El Paso, TX 79902-4672
Phone
(915) 533-5486
Fax
(915) 533-9602
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X PA03216 TX Primary

Addresses

Primary practice location

1201 E Schuster Ave
BLDG 7
El Paso, TX 79902-4672

Mailing address

1201 E Schuster Ave
BLDG 7
El Paso, TX 79902-4672
Phone (915) 533-5486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071127000415 TX Practitioner - Physician Assistant 8224126396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8041 N Mesa St
Suite B2
El Paso, TX 79932-1666
Phone (915) 307-3416

Hospital & facility affiliations

  • Sierra Medical Center Hospital, El Paso, TX, CCN 450668
  • Memorial Medical Center Hospital, Las Cruces, NM, CCN 320018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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 3

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316957178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E SCHUSTER AVE",
            "address_2": "BLDG 7",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024672",
            "telephone_number": "915-533-5486",
            "fax_number": "915-533-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E SCHUSTER AVE",
            "address_2": "BLDG 7",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024672",
            "telephone_number": "915-533-5486",
            "fax_number": "915-533-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "TRACY",
        "middle_name": "A.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "PA03216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.