Organization Active NPI

American Access Care of SP ASC LLC

Doing business as Azura Surgery Center South Philadelphia

  • Ambulatory Surgical Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1790237501
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
AMERICAN ACCESS CARE OF SP ASC LLC
Doing business as
Azura Surgery Center South Philadelphia
Practice address
2412 W Passyunk Ave Ste 14
Philadelphia, PA 19145-4114
Phone
(215) 462-2100
Fax
(215) 462-3100
NPI assigned
Oct 27, 2016
Last updated
Nov 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Gregg A Miller, MDNPI 1942273560
Title
Authorized Official
Phone
(717) 515-4048

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

2412 W Passyunk Ave Ste 14
Philadelphia, PA 19145-4114

Mailing address

PO Box 419577
Boston, MA 02241-9577
Phone (610) 644-8900

Other names 1

  • Azura Surgery Center South Philadelphia Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170118001156 PA Part B Supplier - Ambulatory Surgical Center 7214219724 Practice locations: Philadelphia, PA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
American Access Care of South Philadelphia ASCCCN 39C0001333
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 2

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

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": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1790237501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419577",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022419577",
            "telephone_number": "610-644-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 W PASSYUNK AVE STE 14",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454114",
            "telephone_number": "215-462-2100",
            "fax_number": "215-462-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN ACCESS CARE OF SP ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "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": "A",
        "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 South Philadelphia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

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.

Verify at the official NPI Registry.