DR. JACK HENRY SHORT M.D.
NPI 1346650942
Internal Medicine - Critical Care Medicine in Chandler, AZ

Q: What is Jack Short's NPI number?

The NPI number for Jack Short is 1346650942. It was assigned to this individual provider in the NPPES registry on May 5, 2014.

Q: What is Jack Short's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Jack Short was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 05, 2014PECOS EnrolledAccepts Medicare Assignment

1955 W FRYE RD, CHANDLER, AZ 85224(480) 728-3000 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 21, 2024, Jul 25, 2022, Dec 1, 2021 and 2 more (5 updates tracked since 2019).

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About Dr. Jack Henry Short M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK HENRY SHORT M.D. (NPI 1346650942) is an individual critical care medicine provider in Chandler, Arizona, licensed in Arizona (49876) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Missouri, Columbia School Of Medicine (2013).

NPPES Registry Identity

NPI1346650942

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameDR. JACK HENRY SHORTCredential: M.D.

Location Address1955 W FRYE RDChandler, AZ 85224-6282

Mailing AddressPo Box 33269Phoenix, AZ 85067-3269 · (602) 406-4786 · Fax (916) 636-4358

Phone(480) 728-3000

Sole ProprietorNo

Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2013

Enumeration DateMay 5, 2014

Last NPPES UpdateNovember 21, 20245 updates tracked since enumeration

NPPES CertifiedNovember 21, 2024

✔ NPI 1346650942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in AZ · 49876

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

1955 W FRYE RD, Chandler, AZ 85224

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Secondary Practice Locations 2

Location 19130 E Elliot Rd SteMesa, AZ 85212-9675 · Phone (480) 909-3870 · Fax (602) 230-6463

Location 23555 S Val Vista DrGilbert, AZ 85297-7323 · Phone (480) 909-3870 · Fax (480) 728-9616

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Health Advantage and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jack Henry Short M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466671284

PECOS Enrollment IDI20190705001225, I20220111001928

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

202 services103 patients

Critical care, each additional 30 minutes 99292

Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.

38 services24 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

32 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85224 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HANNAH ELIZABETH ALLEN CNIM

Specialist/Technologist, Other (Electroneurodiagnostic)