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AMERICAN ACCESS CARE OF PENNSYLVANIA LLC
NPI 1063487627
Radiology - Vascular & Interventional Radiology in Philadelphia, PA

Active since February 17, 2006CLIA Certified · 2 labs
7959 BUSTLETON AVE, PHILADELPHIA, PA 19152(215) 742-5662(215) 742-5663 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 9, 2025, Jul 11, 2023, May 9, 2023 and 7 more (10 updates tracked since 2016).

About American Access Care Of Pennsylvania Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMERICAN ACCESS CARE OF PENNSYLVANIA LLC (NPI 1063487627), doing business as Azura Vascular Care Northeast Philadelphia, is a healthcare organization registered as a vascular & interventional radiology in Philadelphia, Pennsylvania and active in the NPI registry since February 2006. The organization holds 2 active CLIA laboratory certificates and lists Gregg A Miller, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1063487627
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameAMERICAN ACCESS CARE OF PENNSYLVANIA LLC
Location Address7959 BUSTLETON AVEPhiladelphia, PA 19152-3320
Mailing AddressPo Box 416170Boston, MA 02241-6170 · (610) 644-8900 · Fax (484) 924-0053
Phone(215) 742-5662
Fax(215) 742-5663
Organization SubpartNo
Authorized OfficialGregg A MillerAuthorized Official · (717) 515-4048
Enumeration DateFebruary 17, 2006
Last NPPES UpdateDecember 9, 202510 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
✔ NPI 1063487627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
7959 BUSTLETON AVE, Philadelphia, PA 19152
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Other Names 1

Doing Business AsAzura Vascular Care Northeast Philadelphia

Other Identifiers 1

Medicaid007796567PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

American Access Care Of Pennsylvania Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to American Access Care Of Pennsylvania LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nephrology5
Interventional Radiology3
Internal Medicine1
Vascular Surgery1

Clinicians, nearest first (10)

Shadi Sallit, M.D.
Interventional Radiology
NPI 1477843688
7959 BUSTLETON AVE
Philadelphia, PA 19152
(215) 742-5662
✔ PECOS✔ Accepts MedicareSame address
Richard Gray, MD
Interventional Radiology
NPI 1407846090
7959 BUSTLETON AVE
Philadelphia, PA 19152
(215) 742-5662
✔ PECOS✔ Accepts MedicareSame address
Lawrence Freitas, M.D.
Internal Medicine
NPI 1477500718
735 FITZWATERTOWN RD
Willow Grove, PA 19090
(215) 657-2012
✔ PECOS✔ Accepts Medicare7.7 mi
Saad Khan, MD
Nephrology
NPI 1679094676
735 FITZWATERTOWN RD STE 1
Willow Grove, PA 19090
(215) 657-2012
✔ PECOS✔ Accepts Medicare7.7 mi
Majid Khan, M.D.
Nephrology
NPI 1083983886
735 FITZWATERTOWN RD STE 1
Willow Grove, PA 19090
(215) 657-2012
✔ PECOS✔ Accepts Medicare7.7 mi
Thomas Delgiorno, M.D.
Nephrology
NPI 1790768422
10 E MORELAND AVE STE 100
Philadelphia, PA 19118
(267) 437-3163
✔ PECOS✔ Accepts Medicare7.8 mi
Devin Mckelvey, D.O.
Nephrology
NPI 1104288638
10 E MORELAND AVE STE 100
Philadelphia, PA 19118
(267) 437-3163
✔ PECOS✔ Accepts Medicare7.8 mi
Mark Mantell, M.D.
Vascular Surgery
NPI 1104984046
51 N. 39TH STREET HEART & VASCULAR PAVILION 4TH FLOOR
Philadelphia, PA 19104
(215) 662-9551
✔ PECOS✔ Accepts Medicare11 mi
David Hertzog, MD
Interventional Radiology
NPI 1336188945
2412 W PASSYUNK AVE STE 14
Philadelphia, PA 19145
(215) 462-2100
✔ PECOS✔ Accepts Medicare12 mi
Jacques Abi Rached, MD
Nephrology
NPI 1790920577
8140 CORPORATE DR STE 125
Baltimore, MD 21236
(410) 931-9729
✔ PECOS✔ Accepts Medicare89 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D1004122

American Access Care Of PA · Philadelphia, PA
Active · expires Aug 12, 2028
CLIA Number39D1004122
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 13, 2026
Certificate Expiration DateAugust 12, 2028
Laboratory DirectorDr. Shadi Sallit
Laboratory Phone(215) 742-5662
Laboratory LocationAmerican Access Care Of PA7959 Bustleton Avenue, Philadelphia, PA 19152
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D2124362

American Access Care Of PA ASC, LLC · Philadelphia, PA
Active · expires Jan 16, 2027
CLIA Number39D2124362
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 17, 2025
Certificate Expiration DateJanuary 16, 2027
Laboratory DirectorDr. Shadi Sallit
Laboratory Phone(215) 742-5662
Laboratory LocationAmerican Access Care Of PA ASC, LLC7959 Bustleton Avenue, Philadelphia, PA 19152
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is American Access Care Of Pennsylvania LLC's NPI number?

The NPI number for American Access Care Of Pennsylvania LLC is 1063487627. It was assigned to this organization in the NPPES registry on February 17, 2006. The provider is doing business as Azura Vascular Care Northeast Philadelphia.

Where is American Access Care Of Pennsylvania LLC located?

American Access Care Of Pennsylvania LLC is located at 7959 Bustleton Ave, Philadelphia, PA 19152. The listed phone number is (215) 742-5662.

What is American Access Care Of Pennsylvania LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is American Access Care Of Pennsylvania LLC enrolled in Medicare?

Yes. American Access Care Of Pennsylvania LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through American Access Care Of Pennsylvania LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to American Access Care Of Pennsylvania LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nephrology (5), Interventional Radiology (3) and Internal Medicine (1). Of these, 2 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does American Access Care Of Pennsylvania LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does American Access Care Of Pennsylvania LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list American Access Care Of Pennsylvania LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for American Access Care Of Pennsylvania LLC was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.