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Deactivated NPI 1588867386 Deactivated / Inactive NPI Male Practitioner

Virgil D. Short

Internal Medicine • Bloomington, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Virgil Short has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 08, 2007
NPI Deactivation Date November 28, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Virgil Short was a registered Internal Medicine practicing in Bloomington, IL. Throughout an active medical career spanning 17 years, Virgil Short provided care at the practice location at 326 FAIRWAY DR until profile deactivation on 2024-11-28.

Practice Location & Contact Primary Location

Practice Address

326 Fairway Dr

Bloomington, IL 617013462

Telephone 3096625361
Fax 3096635742

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Bloomington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.0 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
39 Specialists

Practicing in Bloomington, IL (7544 Statewide)

Telehealth Adoption Rate
12.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Paul Pedersen

Internal Medicine

NPI 1053403675
Andrew Tharp , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1285013029

NURSEPRACTITIONER

Abbi Carr , NP

Nurse Practitioner

NPI 1437434982

Nurse Practitioner

Dr. Ira Halperin , DO

Internal Medicine

NPI 1548352107

Doctor of Osteopathic Medicine (D.O.)

Dr. Scott Mclain , MD

Internal Medicine

NPI 1669463436

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 28, 2024

Record deactivated on November 28, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 326 FAIRWAY DR, BLOOMINGTON, IL 617013462 (Tel: 3096625361)

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Updated Business Mailing Address July 08, 2007

Registered at 326 FAIRWAY DR, BLOOMINGTON, IL 617013462 (Tel: 3096625361)

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Provider Name / Credentials Updated July 08, 2007

Recorded as VIRGIL SHORT

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine

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Initial NPI Registration & Enumeration June 08, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588867386
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2007
Last Update: July 08, 2007
Deactivation Date: November 28, 2024

Mailing Address

326 Fairway Dr

Bloomington, IL 617013462

Phone: 3096625361

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.