Individual provider Active NPI

Charise Shively Fashho, M.D.

  • Obstetrics & Gynecology Physician
  • Lafayette, LA
National Provider Identifier
1376800987
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
206884 Issued in LA
Practice address
4600 Ambassador Caffery Pkwy
Lafayette, LA 70508-6902
Phone
(337) 521-9100
Fax
(337) 470-2019
NPI assigned
Apr 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 48824 KY
Student in an Organized Health Care Education/Training Program 390200000X LA
Obstetrics & Gynecology Physician 207V00000X 206884 LA Primary

Addresses

Primary practice location

4600 Ambassador Caffery Pkwy
Lafayette, LA 70508-6902

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (337) 521-9100

Other practice location 1

425 California St Ste 1400
San Francisco, CA 94104-2116
Phone (831) 484-7713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, LA, OH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160823002662 KY Practitioner - Obstetrics/Gynecology 9436471224 Reassigns benefits to 1 organization
I20201007001753 LA Practitioner - Obstetrics/Gynecology 9436471224 Reassigns benefits to 5 organizations
I20260305002118 OH Practitioner - Obstetrics/Gynecology 9436471224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Tulane University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lourdes Physician Group LLC 157 clinicians

Practice addresses (Care Compare)

4600 Ambassador Caffery Pkwy
Lafayette, LA 70508-6902
Phone (337) 470-2910

Merit-based Incentive Payment System (MIPS)

Final score
85.92 of 100Reported as group
Quality
80.9
Promoting interoperability
100
Improvement activities
40
Cost
72.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
206884LAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Mar 5, 2026 Accepting new patients
Community Medical Associates, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Community Medical Associates, Inc. Obstetrics & Gynecology CurrentSince Aug 1, 2016 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Mar 5, 2026 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Lourdes Physician Group LLC CurrentSince Jul 31, 2023 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Stephen Padgett MD LLC Obstetrics & Gynecology CurrentSince Nov 4, 2020 Accepting new patients
DHP of Louisiana PC Obstetrics & Gynecology CurrentSince Jan 1, 2025 Accepting new patients
Obhg Louisiana, LLC Obstetrics & Gynecology CurrentSince Jul 4, 2020 Accepting new patients
Our Lady of Lourdes Regional Medical Center, Inc Past Accepting new patients

Locations

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

601 S Floyd St
Ste 300
Louisville, KY 40202
Phone (502) 629-1515

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

1211 Coolidge Blvd
Ste 405
Lafayette, LA 70503
Phone (337) 233-7524

4600 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 371-3135

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

4200 Nelson Rd
Lake Charles, LA 70605
Phone (318) 474-6370

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

Interoperability endpoints

  • Direct secure messaging: cfashho5243612@direct.casso.us.com
  • Direct secure messaging: v-chafashho@direct.ochsner.org

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1376800987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "337-521-9100",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 AMBASSADOR CAFFERY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086902",
            "telephone_number": "337-521-9100",
            "fax_number": "337-470-2019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 California St Ste 1400",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941042116",
            "country_code": "US",
            "telephone_number": "831-484-7713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FASHHO",
        "first_name": "CHARISE",
        "middle_name": "SHIVELY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "48824",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "206884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.