Individual provider Active NPI

Ashley M Classen, D.O.

  • Interventional Pain Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1629071733
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
H1358 Issued in TX
Practice address
823 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone
(817) 332-3664
Fax
(817) 882-9888
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X H1358 TX Primary

Addresses

Primary practice location

823 Pennsylvania Ave
Fort Worth, TX 76104-2224

Mailing address

PO Box 9290
Fort Worth, TX 76147-2290
Phone (817) 332-3664

Other practice location 1

1700 Mistletoe Blvd
Fort Worth, TX 76104-4042
Phone (817) 332-3664

Other identifiers 4

IdentifierTypeStateIssuer
137400102MedicaidTX
82930GOtherTXBCBSTX PROVIDER ID
079577501MedicaidTX
0040CGOtherTXBCBSTX GROUP ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20040428001157 TX Practitioner - Interventional Pain ManagementPractitioner - Pain Management 2567459860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
University of North Texas HSC, College of Osteopathic Med, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Pain Medicine Associates PAGroup PAC ID 1254328578, 3 clinicians

Practice addresses (Care Compare)

1400 8TH Ave
Fort Worth, TX 76104-4110
Phone (817) 926-2544

823 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone (817) 332-3664

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Pain Medicine Associates PA Interventional Pain Medicine CurrentSince Feb 27, 1987 Accepting new patients

Locations

1300 Pennsylvania Ave
Fort Worth, TX 76104
Phone (888) 442-7747

311 University Dr
Fort Worth, TX 76107
Phone (817) 207-0281

1401 Henderson St
Fort Worth, TX 76102
Phone (817) 924-2116

2001 W Rosedale St
Ft Worth, TX 76104
Phone (817) 877-4777

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

815 8th Ave
Ft Worth, TX 76104
Phone (817) 332-4812

1700 Mistletoe Blvd
Ft Worth, TX 76104
Phone (817) 923-8050

900 8th Ave
Ft Worth, TX 76104
Phone (817) 336-2100

7800 Oakmont Blvd
Ft Worth, TX 76132
Phone (817) 279-0225

823 Pennsylvania Ave
Ft Worth, TX 76104

1000 Montgomery St
Ft Worth, TX 76107
Phone (817) 731-4311

Interoperability endpoints

  • Direct secure messaging: ashley.classen.1@20286.direct.athenahealth.com
  • Direct secure messaging: aclassen@direct.uspi.com
  • FHIR API: https://api.platform.athenahealth.com/20286/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1629071733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9290",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761472290",
            "telephone_number": "817-332-3664",
            "fax_number": "817-336-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042224",
            "telephone_number": "817-332-3664",
            "fax_number": "817-882-9888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Mistletoe Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044042",
            "country_code": "US",
            "telephone_number": "817-332-3664",
            "fax_number": "817-882-9888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLASSEN",
        "first_name": "ASHLEY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2022-02-11",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "H1358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137400102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX PROVIDER ID",
            "identifier": "82930G",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079577501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX GROUP ID",
            "identifier": "0040CG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.