MILLENIUM MEDICAL MANAGEMENT LLC
NPI 1366645376
Neurological Surgery in Melbourne, FL

NPI Status: Active since June 07, 2007

Contact Information

7955 SPYGLASS HILL RD STE A
MELBOURNE, FL
ZIP 32940
Phone: (321) 255-6670
Fax: (321) 242-2545

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  • Organization
  • Neurological Surgery
  • Accepts Insurance
  • CLIA Number: 10D1093121
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-31-2026

About MILLENIUM MEDICAL MANAGEMENT LLC

This page provides the complete NPI Profile along with additional information for Millenium Medical Management Llc, a provider established in Melbourne, Florida operating as a Neurological Surgery. The healthcare provider is registered in the NPI registry with number 1366645376 assigned on June 2007. The practitioner's primary taxonomy code is 207T00000X with license number ME82061 (FL). The provider is registered as an organization and their NPI record was last updated March 2026. Millenium Medical Management Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Sun Mee Deukmedjian (Financial Officer)

NPI
1366645376
Provider Legal Name
MILLENIUM MEDICAL MANAGEMENT LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
7955 SPYGLASS HILL RD STE A MELBOURNE, FL 32940
Location Phone
(321) 255-6670
Location Fax
(321) 242-2545
Mailing Address
7955 SPYGLASS HILL RD STE A MELBOURNE, FL 32940
Mailing Phone
(321) 255-6670
Mailing Fax
(321) 242-2545
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-07-2007
Last Update Date
03-30-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Neurological Surgery

Taxonomy Code
207T00000X
Type
Allopathic & Osteopathic Physicians
License No.
ME82061
License State
FL
Taxonomy Description
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207L00000XAllopathic & Osteopathic Physicians

Anesthesiology

 
2208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

ME111580 (FL)
3208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

OS12589 (FL)
4208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

ME93866 (FL)
52081P2900XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation
Pain Medicine

ME93866 (FL)
62081P2900XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation
Pain Medicine

OS12589 (FL)
72081P2900XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation
Pain Medicine

ME111580 (FL)
82081S0010XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation
Sports Medicine

ME93866 (FL)
9208VP0014XAllopathic & Osteopathic Physicians

Pain Medicine
Interventional Pain Medicine

ME111580 (FL)
10208VP0014XAllopathic & Osteopathic Physicians

Pain Medicine
Interventional Pain Medicine

ME93866 (FL)
11261QM1200XAmbulatory Health Care Facilities

Clinic/Center
Magnetic Resonance Imaging (MRI)

IAC ACCREDITED 7422 (FL)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 (Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - PPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-05 (Rewards) - POS
  • BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-18 (Rewards) - POS
  • BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SUN MEE DEUKMEDJIAN

Authorized Official Title
FINANCIAL OFFICER
Authorized Official Phone
(321) 775-1290

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
33435OTHER (01)FLBCBSFL
3612958OTHER (01)FLAETNA
DG6510OTHER (01)FLMEDICARE RAILROAD CARRIER
613998300OTHER (01)FLDOL ASC
2921108OTHER (01)FLCIGNA

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D1093121
Facility Type
Physician Office
Certificate Effective Date
April 28, 2024
Certificate Expiration Date
May 31, 2026
Laboratory Director
PHILLIP M. DEMOLA
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Millenium Medical Management Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1366645376, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 2 + 6 + 1 + 2 + 4 + 1 + 0 + 3 + 1 + 4 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1366645376.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Physician Assistant
7955 SPYGLASS HILL RD STE A
MELBOURNE, FL 32940
Physical Medicine & Rehabilitation
7955 SPYGLASS HILL RD STE A
MELBOURNE, FL 32940
Physician Assistant
7955 SPYGLASS HILL RD STE A
MELBOURNE, FL 32940
Pain Medicine (Interventional Pain Medicine)
7955 SPYGLASS HILL RD STE A
MELBOURNE, FL 32940
Neurological Surgery
7955 SPYGLASS HILL RD STE A
MELBOURNE, FL 32940
Physical Medicine & Rehabilitation
7955 SPYGLASS HILL RD STE A
MELBOURNE, FL 32940

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366645376, enumerated as an "organization" on June 07, 2007.

The provider is located at 7955 SPYGLASS HILL RD STE A MELBOURNE, FL 32940 and the phone number is (321) 255-6670.

Neurological Surgery with taxonomy code 207T00000X.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.