Active NPI
Brian Short, DPM
- Podiatrist
- Fairfield, OH
National Provider Identifier
1336116383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36003369
- Practice address
- 6200 Pleasant Ave
Suite 3
Fairfield, OH 45014-4670 - Phone
- (513) 829-9333
- Fax
- (513) 858-7827
- NPI assigned
- Mar 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36003369 | OH | Primary |
Addresses
Primary practice location
6200 Pleasant Ave
Suite 3
Fairfield, OH 45014-4670
Mailing address
3000 Hospital Dr
Batavia, OH 45103-1921
Phone (513) 735-8924
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2502661 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040625001069 | OH | Practitioner - Podiatry | 2860478229 | Practice locations: Batavia, OH; Georgetown, OH |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3000 Hospital Dr
Batavia, OH 45103-1921
Phone (513) 735-8924
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 255 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36003369 | OH | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Foot and Ankle Specialists of Ohio Inc | Podiatrist | Past | Accepting new patients |
| Advanced Foot Surgeons, Inc. | Past | Accepting new patients | |
| Neurology Associates of Southern Ohio LLC | Past | Accepting new patients |
Interoperability endpoints
- bshort18493@direct.bsmhealth.org
- bshort@brianshortdpm.emadirect.md
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 and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Ripley, OH
- NPI 1538200407
-
- Podiatrist
- Vandalia, OH
- NPI 1841636883
-
- Neurology Physician
- Hamilton, OH
- NPI 1013168087
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Hospital Anderson
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1235239211
-
dba Clermont Hospital
- General Acute Care Hospital
- Batavia, OH
- NPI 1568562551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555977600000",
"number": "1336116383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 HOSPITAL DR",
"city": "BATAVIA",
"state": "OH",
"postal_code": "451031921",
"telephone_number": "513-735-8924",
"fax_number": "513-732-8348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 PLEASANT AVE",
"address_2": "SUITE 3",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450144670",
"telephone_number": "513-829-9333",
"fax_number": "513-858-7827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORT",
"first_name": "BRIAN",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2019-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OH",
"license": "36003369",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2502661",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.