DR. KELLY NATHAN SHORTRIDGE D.O.
NPI 1558728196
Surgery in Houston, TX

Active since January 27, 2016PECOS EnrolledAccepts Medicare Assignment
10125 KATY FWY STE 106, HOUSTON, TX 77024(713) 464-6000 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2021, May 16, 2016, Jan 27, 2016 (3 updates tracked since 2016).

About Dr. Kelly Nathan Shortridge D.o. NPPES

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

DR. KELLY NATHAN SHORTRIDGE D.O. (NPI 1558728196) is an individual surgery provider in Houston, Texas, licensed in Texas (S8915) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mesa, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1558728196
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. KELLY NATHAN SHORTRIDGECredential: D.O.
Location Address10125 KATY FWY STE 106Houston, TX 77024-1287
Mailing Address909 Frostwood Dr Ste 1.100Houston, TX 77024-2301 · (713) 338-5519
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 27, 2016
Last NPPES UpdateAugust 19, 20213 updates tracked since enumeration
NPPES CertifiedAugust 19, 2021
NPI 1558728196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in TX · S8915
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
10125 KATY FWY STE 106, Houston, TX 77024

Secondary Practice Location 1

Location 11301 S Crismon RdMesa, AZ 85209-3767 · Phone (480) 373-2370 · Fax (480) 373-2375

Accepted 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. Kelly Nathan Shortridge D.o. 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 ID6800291196
PECOS Enrollment IDI20220830002113
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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
34 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77024 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
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 8

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

Surgery
10125 KATY FWY STE 106
HOUSTON, TX 77024
Dietitian, Registered
10125 KATY FWY STE 106
HOUSTON, TX 77024
Surgery
10125 KATY FWY STE 106
HOUSTON, TX 77024
Nurse Practitioner (Adult Health)
10125 KATY FWY STE 106
HOUSTON, TX 77024
General Practice
10125 KATY FWY STE 106
HOUSTON, TX 77024
Nurse Practitioner (Family)
10125 KATY FWY STE 106
HOUSTON, TX 77024
General Practice
10125 KATY FWY STE 106
HOUSTON, TX 77024
Physician Assistant
10125 KATY FWY STE 106
HOUSTON, TX 77024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Shortridge's NPI number?

The NPI number for Kelly Shortridge is 1558728196. It was assigned to this individual provider in the NPPES registry on January 27, 2016.

Where is Kelly Shortridge located?

Kelly Shortridge practices at 10125 Katy Fwy Ste 106, Houston, TX 77024. The listed phone number is (713) 464-6000.

What is Kelly Shortridge's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kelly Shortridge enrolled in Medicare?

Yes. Kelly Shortridge is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Shortridge accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. and 1 other insurer list Kelly Shortridge as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Shortridge was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.