Active NPI
CVP ASC Holdings, LLC
- Ambulatory Surgical Clinic/Center
- Blue Ash, OH
National Provider Identifier
1194522946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- CVP ASC HOLDINGS, LLC
- Practice address
- 1945 Cei Dr
Blue Ash, OH 45242-5664 - Phone
- (513) 515-6172
- Fax
- (513) 984-4240
- NPI assigned
- Feb 28, 2025
- 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
- Daniel Miller, MD
- Title
- President
- Phone
- (513) 234-8773
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1945 Cei Dr
Blue Ash, OH 45242-5664
Mailing address
15933 Clayton Rd Ste 210
Ballwin, MO 63011-2172
Phone (616) 588-6593
Other names 1
- CVP Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250924002840 | OH | Part B Supplier - Ambulatory Surgical Center | 0840719720 | Practice locations: Blue Ash, OH |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- CVP ASC Holdings LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Cincinnati, OH
- NPI 1245037092
-
- Ambulatory Surgical Clinic/Center
- Middletown, OH
- NPI 1871390625
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740700800000",
"number": "1194522946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15933 CLAYTON RD STE 210",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630112172",
"telephone_number": "616-588-6593",
"fax_number": "616-383-0610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 CEI DR",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452425664",
"telephone_number": "513-515-6172",
"fax_number": "513-984-4240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CVP ASC HOLDINGS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-28",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "513-234-8773",
"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": "CVP Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Blue Ash, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.