NPIMap

Individual provider Active NPI

Michael B Fashho, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Jefferson Hills, PA
National Provider Identifier
1871810671
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
MD468140 Issued in PA
Practice address
565 Coal Valley Rd
Jefferson Hills, PA 15025-3703
Phone
(412) 469-5000
NPI assigned
May 3, 2010
Last updated
Oct 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD468140 PA Primary
Pulmonary Disease Physician 207RP1001X MD468140 PA

Addresses

Primary practice location

565 Coal Valley Rd
Jefferson Hills, PA 15025-3703

Mailing address

565 Coal Valley Rd
Jefferson Hills, PA 15025-3703
Phone (412) 469-5000

Other identifiers 2

IdentifierTypeStateIssuer
7100411390MedicaidKY
13859781OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mfashho238464@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, LA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160829001964 KY Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 8921393018 Reassigns benefits to 1 organization
I20200930000833 LA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 8921393018 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Louisiana State University School of Medicine in Shreveport, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GBR, LLCGroup PAC ID 8123206299, 15 clinicians

Practice addresses (Care Compare)

155 Hospital Dr
Suite 101
Lafayette, LA 70503-2852
Phone (337) 234-3204

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD468140PAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospital and Clinics, Inc. CurrentSince Nov 1, 2020 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
University Hospital & Clinics, Inc. Current Accepting new patients
University Hospital & Clinics Inc CurrentSince Nov 1, 2020 Accepting new patients
GBR, LLC Pulmonary Disease CurrentSince Nov 1, 2020 Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
Lafayette General Medical Center Inc Past Accepting new patients

Locations

200 E Chestnut St
Ste 303
Louisville, KY 40202
Phone (502) 629-5552

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

155 Hospital Dr
Ste 101
Lafayette, LA 70503
Phone (337) 234-3204

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

Interoperability endpoints

  • Direct secure messaging: mfashho153908@direct.ochsner.org

Organizations & group practices 8

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

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1871810671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 COAL VALLEY RD",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253703",
            "telephone_number": "412-469-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 COAL VALLEY RD",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253703",
            "telephone_number": "412-469-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASHHO",
        "first_name": "MICHAEL",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-03",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "MD468140",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD468140",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100411390",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13859781",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfashho238464@direct.ahn.org",
            "affiliation": "N",
            "address_1": "565 Coal Valley Rd",
            "city": "Jefferson Hills",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150253703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jefferson Hills, PA

Sources for this page

Verify at the official NPI Registry.