Coastal Connecticut Vascular Asc LLC
NPI 1417780172 · Ambulatory Surgical Clinic/Center · Fairfield, CT
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Coastal Connecticut Vascular Asc LLC is a Ambulatory Surgical Clinic/Center organization in Fairfield, CT (NPI 1417780172).
Provider details
- NPI number
- 1417780172
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gregg Miller, Authorized Official(717) 515-4048
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Azura Surgery Center Connecticut
Registry dates
- Enumerated
- 2024-08-20
- Last updated
- 2025-11-18
- Certified
- 2025-11-18
Frequently asked questions
- What is Coastal Connecticut Vascular Asc LLC's NPI number?
- Coastal Connecticut Vascular Asc LLC's National Provider Identifier (NPI) is 1417780172, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Connecticut Vascular Asc LLC?
- Coastal Connecticut Vascular Asc LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Coastal Connecticut Vascular Asc LLC located?
- Coastal Connecticut Vascular Asc LLC's practice location on file with NPPES is 1152 Kings Highway Cutoff, Fairfield, CT 06824-5273.
- What is Coastal Connecticut Vascular Asc LLC's phone number?
- The practice phone number listed in the NPPES registry for Coastal Connecticut Vascular Asc LLC is (203) 330-0248.
- Does Coastal Connecticut Vascular Asc LLC accept Medicare?
- Coastal Connecticut Vascular Asc LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Coastal Connecticut Vascular Asc LLC?
- The authorized official listed on Coastal Connecticut Vascular Asc LLC's NPPES record is Gregg Miller, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Connecticut Vascular Asc LLC's NPI active?
- Yes — Coastal Connecticut Vascular Asc LLC's NPI (1417780172) is active in the NPPES registry as of the last update on 2025-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.