Individual provider Active NPI

Ashley Casandra Fuentes, D.O.

  • Family Medicine Physician
  • Middleburg Heights, OH
National Provider Identifier
1780043430
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.012975 Issued in OH
Practice address
7225 Old Oak Blvd Ste A210
Middleburg Heights, OH 44130-3339
Phone
(440) 816-2761
NPI assigned
Feb 22, 2016
Last updated
Oct 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.012975 OH Primary

Addresses

Primary practice location

7225 Old Oak Blvd Ste A210
Middleburg Heights, OH 44130-3339

Mailing address

7225 Old Oak Blvd Ste A210
Middleburg Heights, OH 44130-3339

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drashleyfuentes@southwestfamilyphysicians.medentdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20170927000331 OH Practitioner - Family Practice 8820380199 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7225 Old Oak Blvd
Suite A210
Cleveland, OH 44130-3339
Phone (440) 816-2761

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest General Medical Group Inc Family Medicine Current Accepting new patients
Incare Health Solutions LLC CurrentSince Feb 1, 2018 Accepting new patients
Southwest General Medical Group Inc. Family Medicine CurrentSince Jul 13, 2019 Accepting new patients
Southwest General Medical Group Inc CurrentSince Jul 13, 2019 Accepting new patients
Incare Health Solutions, LLC CurrentSince Feb 1, 2018 Accepting new patients
Southwest Family Physicians, Inc. Family Medicine Current Accepting new patients

Locations

3530 Westgate
Ste D432
Fairview Park, OH 44126
Phone (440) 356-4265

7225 Old Oak Blvd
Ste A210
Middleburg Heights, OH 44130
Phone (440) 816-2761

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008

Organizations & group practices 6

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 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": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1780043430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 OLD OAK BLVD STE A210",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 OLD OAK BLVD STE A210",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303339",
            "telephone_number": "440-816-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "ASHLEY",
        "middle_name": "CASANDRA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.012975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drashleyfuentes@southwestfamilyphysicians.medentdirect.com",
            "affiliation": "N",
            "address_1": "7225 Old Oak Blvd Ste A210",
            "city": "Middleburg Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441303339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

Verify at the official NPI Registry.