ETHAN SHORT MD
NPI 1629502604
Psychiatry & Neurology - Psychiatry in Louisville, KY

Q: What is Ethan Short's NPI number?

The NPI number for Ethan Short is 1629502604. It was assigned to this individual provider in the NPPES registry on April 17, 2017.

Q: What is Ethan Short's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Short was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 17, 2017PECOS Enrolled

228 DELMONT AVE, LOUISVILLE, KY 40206(502) 619-0636 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 22, 2023, Jun 6, 2022, Feb 11, 2021 and 3 more (6 updates tracked since 2017).

On this page

About Ethan Short Md NPPES

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

ETHAN SHORT MD (NPI 1629502604) is an individual psychiatry provider in Louisville, Kentucky, licensed in Kentucky (54489) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629502604

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameETHAN SHORTCredential: MD

Location Address228 DELMONT AVELouisville, KY 40206-1025

Mailing Address228 Delmont AveLouisville, KY 40206-1025 · (502) 619-0636

Phone(502) 619-0636

Sole ProprietorYes

Enumeration DateApril 17, 2017

Last NPPES UpdateAugust 22, 20236 updates tracked since enumeration

NPPES CertifiedAugust 22, 2023

✔ NPI 1629502604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in KY · 54489✔ Licensed in IN · 01091358A✔ Licensed in KY · R4865

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 54489 (KY)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

228 DELMONT AVE, Louisville, KY 40206

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Short Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40206 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

$162.27 typical visit price

range $52.76 – $162.27

Typical copayment $40.56 (range $13.19 – $40.56)

Most-billed visit code 99205

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

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 Ethan Short's NPI number?

The NPI number for Ethan Short is 1629502604. It was assigned to this individual provider in the NPPES registry on April 17, 2017.

Where is Ethan Short located?

Ethan Short practices at 228 Delmont Ave, Louisville, KY 40206. The listed phone number is (502) 619-0636.

What is Ethan Short's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Ethan Short enrolled in Medicare?

Yes. Ethan Short is registered in the Medicare PECOS enrollment system.

What insurance does Ethan Short accept?

Health plans from CareSource and Providence Health Plan list Ethan Short 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 Ethan Short was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.