Active NPI
American Access Care of Pennsylvania ASC LLC
- Ambulatory Surgical Clinic/Center
- Philadelphia, PA
National Provider Identifier
1154873594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- AMERICAN ACCESS CARE OF PENNSYLVANIA ASC LLC
- Practice address
- 7959 Bustleton Ave
Philadelphia, PA 19152-3320 - Phone
- (215) 742-5662
- Fax
- (215) 742-5663
- NPI assigned
- Nov 2, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregg Arthur Miller, MD
- Title
- Authorized Official
- Phone
- (717) 515-4048
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
7959 Bustleton Ave
Philadelphia, PA 19152-3320
Mailing address
PO Box 419578
Boston, MA 02241-9578
Phone (610) 644-8900
Other names 1
- Azura Surgery Center Northeast Philadelphia
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161221001904 | PA | Part B Supplier - Ambulatory Surgical Center | 1557642006 | Practice locations: Philadelphia, PA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- American Access Care of Pennsylvania ASC Dba Azura Vascular Access Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2124362 | American Access Care of PA ASC, LLC | Certificate of waiver | Jan 16, 2027 |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Vascular & Interventional Radiology Physician
- Philadelphia, PA
- NPI 1063487627
Member Of
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bristol, TN
- NPI 1477570117
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763424000000",
"number": "1154873594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 419578",
"city": "BOSTON",
"state": "MA",
"postal_code": "022419578",
"telephone_number": "610-644-8900",
"fax_number": "484-924-0053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7959 BUSTLETON AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191523320",
"telephone_number": "215-742-5662",
"fax_number": "215-742-5663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN ACCESS CARE OF PENNSYLVANIA ASC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-02",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "GREGG",
"authorized_official_middle_name": "ARTHUR",
"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 Northeast Philadelphia",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Philadelphia, PA
- America'S Best Contacts & Eyeglasses
- America'S Best Contacts & Eyeglasses
- America'S Best Contacts & Eyeglasses
- America'S Best Contacts & Eyeglasses
- America'S Home Health Services,LLC
- American Access Care of Pennsylvania LLC
- American Access Care of Pennsylvania LLC
- American Access Care of SP ASC LLC
- American Access Care of SP LLC
- American Ambulance Connection
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.