Organization Active NPI

Fresenius Vascular Care Denver ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Denver, CO
National Provider Identifier
1104531995
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
FRESENIUS VASCULAR CARE DENVER ASC LLC
Practice address
9050 E Lowry Blvd Ste 160
Denver, CO 80230-7362
Phone
(303) 632-2120
NPI assigned
Jan 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Gregg Miller, MD
Title
Authorized Official
Phone
(717) 515-4048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

9050 E Lowry Blvd Ste 160
Denver, CO 80230-7362

Mailing address

PO Box 411092
Boston, MA 02241-1092

Other practice location 1

9050 E Lowry Blvd Ste 190
Denver, CO 80230-6992
Phone (303) 632-2120

Other names 1

  • Azura Surgery Center Lowry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231212000022 CO Part B Supplier - Ambulatory Surgical Center 1557710985 Practice locations: Denver, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2297634Fresenius Vascular Care Denver ASC, LLC9050 E Lowry Blvd, Suite 160, Denver, CO 80230Certificate of waiverJan 17, 2028

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

9050 E Lowry Blvd
Ste 100
Denver, CO 80230

9050 E Lowry Blvd
Ste 190
Denver, CO 80230
Phone (303) 632-2120

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1104531995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411092",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022411092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 E LOWRY BLVD STE 160",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307362",
            "telephone_number": "303-632-2120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9050 E Lowry Blvd Ste 190",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802306992",
            "country_code": "US",
            "telephone_number": "303-632-2120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FRESENIUS VASCULAR CARE DENVER ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "717-515-4048",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Azura Surgery Center Lowry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.