Individual provider Active NPI

Timothy J Short, DPM

  • Foot Surgery Podiatrist
  • Tucson, AZ
National Provider Identifier
1679512933
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
647 Issued in AZ
Practice address
630 N Alvernon Way
#251-C
Tucson, AZ 85711-1843
Phone
(520) 319-3283
Fax
(520) 319-3982
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 647 AZ Primary

Addresses

Primary practice location

630 N Alvernon Way
#251-C
Tucson, AZ 85711-1843

Mailing address

2202 N Forbes Blvd
Tucson, AZ 85745-1412
Phone (520) 319-3283

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190226001243 LA Practitioner - Podiatry 8527073840 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians
Aria Podiatry Care PLLCGroup PAC ID 2567822661, 53 clinicians

Practice addresses (Care Compare)

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000

830 S Broadway St
Church Point, LA 70525-4402
Phone (877) 674-1211

Hospital & facility affiliations

  • Ochsner Home Health of New Orleans Home health agency, Metairie, LA, CCN 197203
  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036
  • Ochsner Medical Center-Kenner Hospital, Kenner, LA, CCN 190274

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue67
Removal of skin lesions38
Removal of nail tissue359
Removal or shaving of skin growth238

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
647AZMDOptometrist
0647AZMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Jan 25, 2019 Accepting new patients
Ochsner Clinic LLC CurrentSince Jan 25, 2019 Accepting new patients
Aria Podiatry Care PLLC CurrentSince May 16, 2025 Accepting new patients
Northwest Cardiology LLC Past Accepting new patients
Aria Dental Care PC Past Accepting new patients

Locations

8500 W 110th St
Ste 450
Overland Park, KS 66210
Phone (913) 362-1112

830 S Broadway St
Church Point, LA 70525
Phone (337) 684-6313

4430 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 433-7203

1514 Jefferson Hwy
New Orleans, LA 70121

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4
  • Direct secure messaging: tshort689465@direct.ochsner.org

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 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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1679512933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 N FORBES BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857451412",
            "telephone_number": "520-319-3283",
            "fax_number": "520-319-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N ALVERNON WAY",
            "address_2": "#251-C",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111843",
            "telephone_number": "520-319-3283",
            "fax_number": "520-319-3982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AZ",
            "license": "647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.