Millenium Medical Management LLC
Millenium Medical Management LLC is a healthcare organization registered as Neurological Surgery Physician in Melbourne, FL, holding Type 2 (organization) NPI 1366645376 since 2007. The authorized official on file is Sun Deukmedjian, Financial Officer.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1366645376 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Millenium Medical Management LLC |
| Other name | <Unavail> |
| Practice address | 7955 SPYGLASS HILL RD STE A, Melbourne, FL, 32940 |
| Phone | 3212556670 |
| Fax | 3212422545 |
| Enumeration date | 2007-06-07 |
| Last updated in NPPES | 2026-03-30 |
Authorized official
| Name | Sun Deukmedjian |
|---|---|
| Title | Financial Officer |
| Phone | 3217751290 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | Secondary | ME93866 | FL |
| 208100000X | Physical Medicine & Rehabilitation Physician | Secondary | ME111580 | FL |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | Secondary | ME93866 | FL |
| 208100000X | Physical Medicine & Rehabilitation Physician | Secondary | OS12589 | FL |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | Secondary | OS12589 | FL |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | Secondary | ME111580 | FL |
| 208100000X | Physical Medicine & Rehabilitation Physician | Secondary | ME93866 | FL |
| 208VP0014X | Interventional Pain Medicine Physician | Secondary | ME111580 | FL |
| 208VP0014X | Interventional Pain Medicine Physician | Secondary | ME93866 | FL |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | Secondary | IAC ACCREDITED 7422 | FL |
| 207L00000X | Anesthesiology Physician | Secondary | — | — |
| 207T00000X | Neurological Surgery Physician | Primary | ME82061 | FL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33435 | Other | FL | BCBSFL |
| 3612958 | Other | FL | AETNA |
| DG6510 | Other | FL | MEDICARE RAILROAD CARRIER |
| 613998300 | Other | FL | DOL ASC |
| 2921108 | Other | FL | CIGNA |
Copy-ready billing details
Provider: Millenium Medical Management LLC NPI: 1366645376 Taxonomy: 207T00000X (Neurological Surgery Physician) Address: 7955 SPYGLASS HILL RD STE A, Melbourne, FL, 32940
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1457351322 | Bharat Patel | Individual | Interventional Pain Medicine Physician | Melbourne, FL |
| 1619079662 | Ara Deukmedjian | Individual | Neurological Surgery Physician | Melbourne, FL |
| 1336262021 | Frederick Stewart | Individual | Physician Assistant | Melbourne, FL |
| 1942484688 | Philip Demola | Individual | Physical Medicine & Rehabilitation Physician | Melbourne, FL |
| 1609226810 | Matthew Janzen | Individual | Physical Medicine & Rehabilitation Physician | Melbourne, FL |
| 1861966020 | Stefan Hartmann | Individual | Physician Assistant | Melbourne, FL |
Verify this record
Cross-check NPI 1366645376 against the authoritative CMS record: view Millenium Medical Management LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Millenium Medical Management LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-03-30.