Cherise A Irby, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

24995 Issued in LA

Practice address

1905 Fairfield Ave
Shreveport, LA 71101-4436

Phone

(318) 629-4729

Fax

(318) 629-4730

NPI assigned

Sep 27, 2005

Reactivated

Apr 3, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Louisiana State University School of Medicine in Shreveport, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Louisiana Homecare Home health agency, Mansfield, LA, CCN 197052
• Christus Homecare Shreveport-Bossier Home health agency, Shreveport, LA, CCN 197074
• Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
• Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041
• Claiborne Memorial Medical Center Hospital, Homer, LA, CCN 190114
• North Caddo Medical Center Hospital, Vivian, LA, CCN 191304

Merit-based Incentive Payment System (MIPS)

Final score

74.16 of 100Reported as individual

Quality

56.96

Improvement activities

40

Cost

56.96

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cherise a Irby, MD

  • Specialist
  • Shreveport, LA
  • NPI 1619157054

  LA

  Medicare reassignment NPD Authorized official
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1568461572
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christus Health Northern Louisiana

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1417950106

  Hospital

  Care Compare affiliation
• Homer Memorial Hospital

  • General Acute Care Hospital
  • Homer, LA
  • NPI 1831183748

  Hospital

  Care Compare affiliation
• LHCG Cviii, LLC

  • Home Health Agency
  • Shreveport, LA
  • NPI 1780105908
  Care Compare affiliation
• Louisiana Homecare of Northwest Louisiana, LLC

  • Home Health Agency
  • Mansfield, LA
  • NPI 1285681171
  Care Compare affiliation
• North Caddo Hospital Service District

  • Critical Access Hospital
  • Vivian, LA
  • NPI 1326016684

  Hospital

  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Bossier City, LA
  • NPI 1003968579

  Hospital

  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1124170691

  Hospital

  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1275685539

  Hospital

  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1568461572

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1306832142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 FAIRFIELD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014436",
            "telephone_number": "318-629-4729",
            "fax_number": "318-629-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 FAIRFIELD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014436",
            "telephone_number": "318-629-4729",
            "fax_number": "318-629-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRBY",
        "first_name": "CHERISE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2009-11-20",
        "deactivation_date": "2006-03-25",
        "reactivation_date": "2006-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "24995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0402562",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7483495",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1423301",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "273431",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00023608",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Interactional Services, Inc
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• Internal Medical Associates of Doctors Hospital
• Internal Medicine and Pediatrics Associates LLC
• Gina Yi Inthavong, NURSE PRACTITIONER
• Russell Irby
• Irving Place Associates, L.P.
• David L Irwin, SLP
• Shelia Bea Isaac, L.M.T.
• Tiffany Isaac, ANP-C

• All providers in Shreveport, LA
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.