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TYLER KENT SHORT MD
NPI 1669907192
Radiology - Vascular & Interventional Radiology in San Diego, CA

Active since April 21, 2017PECOS Enrolled
NAVAL MEDICAL CTR, 34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 532-5998(619) 532-5507 Get Directions Write a Review

NPPES record last updated: June 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tyler Kent Short Md NPPES

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

TYLER KENT SHORT MD (NPI 1669907192) is an individual vascular & interventional radiology provider in San Diego, California, licensed in California (193406) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (2017).

NPPES Registry Identity

NPI1669907192
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameTYLER KENT SHORTCredential: MD
Location AddressNAVAL MEDICAL CTR, 34800 BOB WILSON DRSan Diego, CA 92134-0001
Mailing AddressNaval Medical Ctr, 34800 Bob Wilson DrSan Diego, CA 92134-0001 · (619) 532-5998 · Fax (619) 532-5507
Phone(619) 532-5998
Fax(619) 532-5507
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 2017
Enumeration DateApril 21, 2017
Last NPPES UpdateJune 1, 2024
NPPES CertifiedJune 1, 2024
✔ NPI 1669907192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License✔ Licensed in CA · 193406
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 193406 (CA)
NAVAL MEDICAL CTR, San Diego, CA 92134
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID749765451
PECOS Enrollment IDI20260331002636
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Tyler Short reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health Diagnostics Of California A Professional Corporation
79 mi
Diagnostic Radiology
24022 CALLE DE LA PLATA STE 100
Laguna Hills, CA 92653
  • Reassigned Medicare billing, California enrollment
  • 116 clinicians in this Medicare group
NPI 1245861368 (949) 330-8996
Smi Imaging, LLC
301 mi
Diagnostic Radiology
6740 E CAMELBACK RD STE 100
Scottsdale, AZ 85251
  • Reassigned Medicare billing, California enrollment
  • 79 clinicians in this Medicare group
NPI 1972004489 (602) 651-1945
Simonmed Imaging Florida LLC
2,079 mi
Diagnostic Radiology
14302 BRUCE B DOWNS BLVD
Tampa, FL 33613
  • Reassigned Medicare billing, California enrollment
  • 77 clinicians in this Medicare group
NPI 1477830818 (813) 979-7580

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92134 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 20

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

DR. VIKAS SHRIVASTAVA M.D.
Dermatology
NAVAL MEDICAL CTR, 34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 251-7471
MR. JASON WILLIAM BECKFORD
Military Health Care Provider (Independent Duty Corpsman)
NAVAL MEDICAL CTR, 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
San Diego County (619) 708-2068
MRS. HELEN YUN RPH
Pharmacist
NAVAL MEDICAL CTR, 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
San Diego County (949) 547-4956
JANETTE NOVERAS M.D.
Internal Medicine
NAVAL MEDICAL CTR, 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
San Diego County (619) 532-8225
HOLLADAY JEAN CANTUA DPT
Physical Therapist
NAVAL MEDICAL CTR, 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
DR. DIANE WONG MONTONDO M.D.
Family Medicine
NAVAL MEDICAL CTR, 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
SHANE WORLAND IDC
Military Health Care Provider (Independent Duty Corpsman)
NAVAL MEDICAL CTR, 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
San Diego County (757) 375-7598
DR. JESSICA JAKUBIEC PHARMD
Pharmacist
NAVAL MEDICAL CTR, 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
San Diego County (732) 501-8360

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 Tyler Short's NPI number?

The NPI number for Tyler Short is 1669907192. It was assigned to this individual provider in the NPPES registry on April 21, 2017.

Where is Tyler Short located?

Tyler Short practices at Naval Medical Ctr 34800 Bob Wilson Dr, San Diego, CA 92134. The listed phone number is (619) 532-5998.

What is Tyler Short's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Tyler Short enrolled in Medicare?

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

Which organizations bill Medicare for Tyler Short's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Short reassigns Medicare benefits to 3 organizations: Health Diagnostics Of California A Professional Corporation (Laguna Hills, CA), Smi Imaging, LLC (Scottsdale, AZ) and Simonmed Imaging Florida LLC (Tampa, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tyler Short's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyler Short accept?

Health plans from Ambetter Health and Ambetter of Alabama list Tyler 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 Tyler Short was last updated on June 1, 2024. 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.