Organization Active NPI

Compass Pain and Spine PLLC

Doing business as Compass Pain and Spine

  • Pain Medicine (Anesthesiology) Physician
  • Fort Worth, TX
National Provider Identifier
1942953047
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
COMPASS PAIN AND SPINE PLLC
Doing business as
Compass Pain and Spine
Practice address
3406 N Tarrant Pkwy Ste 230
Fort Worth, TX 76177-8640
Phone
(817) 330-9037
NPI assigned
Jan 28, 2022
Last updated
Jan 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Ryan Hiep Tran, MDNPI 1124236484
Title
Physician Owner
Phone
(817) 886-2000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

3406 N Tarrant Pkwy Ste 230
Fort Worth, TX 76177-8640

Mailing address

3406 N Tarrant Pkwy Ste 230
Fort Worth, TX 76177-8640

Other names 1

  • Compass Pain and Spine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220318000727 TX Part B Supplier - Clinic/Group Practice 0143615682 Receives reassigned benefits from 3 practitioners
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

3406 N Tarrant Pkwy
Ste 230
Fort Worth, TX 76177
Phone (817) 521-4242

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1942953047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 N TARRANT PKWY STE 230",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761778640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3406 N TARRANT PKWY STE 230",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761778640",
            "telephone_number": "817-330-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS PAIN AND SPINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "HIEP",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "817-886-2000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compass Pain and Spine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Compass Pain and Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.