Individual provider Active NPI

Rachel Short, MD

  • Family Medicine Physician
  • Olive Hill, KY
National Provider Identifier
1740261767
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38956 Issued in KY
Practice address
153 W Tom T Hall Blvd
Olive Hill, KY 41164-5801
Phone
(606) 898-3982
NPI assigned
Nov 8, 2005
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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 38956 KY Primary

Addresses

Primary practice location

153 W Tom T Hall Blvd
Olive Hill, KY 41164-5801

Mailing address

275 Rachel St
Olive Hill, KY 41164-8463
Phone (859) 494-0542

Other identifiers 2

IdentifierTypeStateIssuer
64086374MedicaidKY
P00196323OtherKYRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20040922000040 KY Practitioner - Family Practice 6608844212 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP520KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care of the Bluegrass, LLC CurrentSince Aug 8, 2017 Accepting new patients
St. Claire Medical Center, Inc Past Accepting new patients
Doctors Urgent Care Offices Medical Group Inc PastSince Oct 1, 2003 Accepting new patients
Family Business LLC PastSince May 23, 2015 Accepting new patients
Journey to Healing Past Accepting new patients
Advanced Pain and Weight Loss Solutions PSC Past Accepting new patients
CG Medical Associates Inc Family Medicine PastSince Dec 1, 2021 Accepting new patients

Locations

29 Main St
Crab Orchard, KY 40419
Phone (606) 355-7300

1031 Wellington Way
Ste 240
Lexington, KY 40513

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1740261767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 RACHEL ST",
            "city": "OLIVE HILL",
            "state": "KY",
            "postal_code": "411648463",
            "telephone_number": "859-494-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 W TOM T HALL BLVD",
            "city": "OLIVE HILL",
            "state": "KY",
            "postal_code": "411645801",
            "telephone_number": "606-898-3982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "RACHEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "38956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64086374",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00196323",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Hill, KY

Sources for this page

Verify at the official NPI Registry.