Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

FRESENIUS VASCULAR CARE PENSACOLA LLC
NPI 1285031963
Radiology - Vascular & Interventional Radiology in Pensacola, FL

Active since November 25, 2014CLIA Certified · 2 labs
1619 CREIGHTON RD STE 2, PENSACOLA, FL 32504(850) 466-3843(850) 484-3106 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 31, 2026, May 16, 2025, Mar 7, 2025 and 7 more (10 updates tracked since 2016).

About Fresenius Vascular Care Pensacola Llc NPPES

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

FRESENIUS VASCULAR CARE PENSACOLA LLC (NPI 1285031963), doing business as Azura Vascular Care Renalus Pensacola, is a healthcare organization registered as a vascular & interventional radiology in Pensacola, Florida and active in the NPI registry since November 2014. The organization holds 2 active CLIA laboratory certificates and lists Gregg Miller, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1285031963
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameFRESENIUS VASCULAR CARE PENSACOLA LLC
Location Address1619 CREIGHTON RD STE 2Pensacola, FL 32504-7152
Mailing AddressPo Box 419076Boston, MA 02241-9076 · (610) 644-8900 · Fax (484) 924-0053
Fax(850) 484-3106
Organization SubpartNo
Authorized OfficialGregg MillerAuthorized Official · (717) 515-4048
Enumeration DateNovember 25, 2014
Last NPPES UpdateJuly 31, 202610 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
NPI 1285031963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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.
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
1619 CREIGHTON RD STE 2, Pensacola, FL 32504

Other Names 1

Doing Business AsAzura Vascular Care Renalus Pensacola

Other Identifiers 1

Medicaid018727200FL

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

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 10D2311502

Fresenius Vascular Care Pensacola Dba Azura Vascular Care Renalus Pensacola · Pensacola, FL
Active · expires Sep 23, 2026
CLIA Number10D2311502
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2024
Certificate Expiration DateSeptember 23, 2026
Laboratory DirectorHaitham Q. Qader
Laboratory Phone(850) 468-3843
Laboratory LocationFresenius Vascular Care Pensacola Dba Azura Vascular Care Renalus Pensacola1619 Creighton Rd Suite 2, Pensacola, FL 32504
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2135674

Fresenius Vascular Care Of Pensacola ASC LLC · Pensacola, FL
Active · expires Aug 24, 2027
CLIA Number10D2135674
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 25, 2025
Certificate Expiration DateAugust 24, 2027
Laboratory DirectorHaitham O. Qader
Laboratory Phone(850) 468-3843
Laboratory LocationFresenius Vascular Care Of Pensacola ASC LLC1619 Creighton Road, Pensacola, FL 32504
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1619 CREIGHTON RD STE 2
PENSACOLA, FL 32504

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 Fresenius Vascular Care Pensacola LLC's NPI number?

The NPI number for Fresenius Vascular Care Pensacola LLC is 1285031963. It was assigned to this organization in the NPPES registry on November 25, 2014. The provider is doing business as Azura Vascular Care Renalus Pensacola.

Where is Fresenius Vascular Care Pensacola LLC located?

Fresenius Vascular Care Pensacola LLC is located at 1619 Creighton Rd Ste 2, Pensacola, FL 32504. The listed phone number is (850) 466-3843.

What is Fresenius Vascular Care Pensacola LLC's specialty?

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

Does Fresenius Vascular Care Pensacola 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 Fresenius Vascular Care Pensacola LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Fresenius Vascular Care Pensacola 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 Fresenius Vascular Care Pensacola LLC was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.