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WILLIAM M SHORT MD
NPI 1720079569
Family Medicine in Marquette, MI

Active since November 01, 2005PECOS Enrolled
1414 W FAIR AVE, STE 36, MARQUETTE, MI 49855(906) 225-3864(906) 225-3851 Get Directions Write a Review

NPPES record last updated: April 22, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About William M Short Md NPPES

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

WILLIAM M SHORT MD (NPI 1720079569) is an individual family medicine provider in Marquette, Michigan, licensed in Michigan (4301046367) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720079569
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWILLIAM M SHORTCredential: MD
Location Address1414 W FAIR AVE, STE 36Marquette, MI 49855-2675
Mailing Address4602 DeptCarol Stream, IL 60122-0021 · (906) 225-3864 · Fax (906) 225-3851
Phone(906) 225-3864
Fax(906) 225-3851
Sole ProprietorNo
Enumeration DateNovember 1, 2005
Last NPPES UpdateApril 22, 2009
✔ NPI 1720079569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301046367
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1414 W FAIR AVE, Marquette, MI 49855
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Other Identifiers 4

Medicaid1804821MI
Other080036036MI · Railroad Medicare
Medicare PIN0E26000005MI
Medicare UPIND94207

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William M 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.

Medicare Billing Reassignments

2

Medicare enrollment records show William Short reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dlp Marquette Physician Practices Inc
Same address
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1414 W FAIR AVE, STE 334
Marquette, MI 49855
  • Reassigned Medicare billing, Michigan enrollment
  • 440 clinicians in this Medicare group
NPI 1073861431 (906) 225-3870
Baraga County Memorial Hospital
49 mi
Family Medicine
18341 US HIGHWAY 41
Lanse, MI 49946
  • Reassigned Medicare billing, Michigan enrollment
  • Also billed through NPI 1558479824 (Michigan)
  • 73 clinicians in this Medicare group
NPI 1700980968 (906) 524-6118

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

Areas of Expertise CMS Part B claims

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49855 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

MR. KIRK W MATTHEWS LMSW
Social Worker (Clinical)
1414 W FAIR AVE
MARQUETTE, MI 49855
Marquette County (906) 774-3300
MR. STEVEN M GUALDONI PAC
Physician Assistant
1414 W FAIR AVE, STE 332
MARQUETTE, MI 49855
Marquette County (906) 225-3922
PENINSULA PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
1414 W FAIR AVE, SUITE 133
MARQUETTE, MI 49855
Marquette County (906) 225-3902
BOBBY Z JOSEPH M.D.
Allergy & Immunology
1414 W FAIR AVE, SUITE 216
MARQUETTE, MI 49855
Marquette County (906) 225-4725
NATHAN SAMUEL TAYLOR MD
Plastic Surgery (Surgery of the Hand)
1414 W FAIR AVE, SUITE 190
MARQUETTE, MI 49855
Marquette County (906) 225-1321
DR. PUSHPAMAL NAYANANGA SAMARARATNE MD
Student in an Organized Health Care Education/Training Program
1414 W FAIR AVE, SUITE 24
MARQUETTE, MI 49855
Marquette County (906) 225-3864
RODNEY RIESLAND NP
Nurse Practitioner (Primary Care)
1414 W FAIR AVE, STE 344
MARQUETTE, MI 49855
Marquette County (906) 225-3910
MANSOUR MIKY M.D.
Physical Medicine & Rehabilitation
1414 W FAIR AVE, SUITE 204
MARQUETTE, MI 49855
Marquette County (906) 225-7740

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 William Short's NPI number?

The NPI number for William Short is 1720079569. It was assigned to this individual provider in the NPPES registry on November 1, 2005.

Where is William Short located?

William Short practices at 1414 W Fair Ave Ste 36, Marquette, MI 49855. The listed phone number is (906) 225-3864.

What is William Short's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is William Short enrolled in Medicare?

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

Which organizations bill Medicare for William Short's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Short reassigns Medicare benefits to 2 organizations: Dlp Marquette Physician Practices Inc (Marquette, MI) and Baraga County Memorial Hospital (Lanse, MI). 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 William Short's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for William Short was last updated on April 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.