Organization Active NPI

Physician Practices of MSMC, LLC

  • Neurological Surgery Physician
  • Miami Beach, FL
National Provider Identifier
1356630628
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME36383 Issued in FL
Legal business name
PHYSICIAN PRACTICES OF MSMC, LLC
Practice address
4302 Alton Rd
Suite 830
Miami Beach, FL 33140-2891
Phone
(305) 674-2404
Fax
(305) 674-2544
NPI assigned
Apr 7, 2011
Last updated
Mar 9, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Mervyn Mills
Title
Sr VP of Finance
Phone
(305) 674-2662

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU
Gastroenterology Physician 207RG0100X NU
Neurological Surgery Physician 207T00000X ME36383 FL Primary
Neonatal-Perinatal Medicine Physician 2080N0001X NU
Neurology Physician 2084N0400X NU
Vascular & Interventional Radiology Physician 2085R0204X NU
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X NU
Pain Medicine Physician 208VP0000X ME388396 FL

Addresses

Primary practice location

4302 Alton Rd
Suite 830
Miami Beach, FL 33140-2891

Mailing address

PO Box 403429
Miami Beach, FL 33140-1429
Phone (305) 674-2841

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/ Other
Direct Messaging Address direct@direct.msmc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110606000715 FL Part B Supplier - Clinic/Group Practice 9436336120 Receives reassigned benefits from 275 practitioners
Practice locations: Miami Beach, FL; Hialeah, FL; Miami Shores, FL; North Miami Beach, FL; Sunny Isles Beach, FL; Aventura, FL; Bay Harbor Islands, FL; Coral Gables, FL…

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0858652Physician Practices of MSMC, LLC4302 Alton Road Suite 680, Miami Beach, FL 33140Certificate of waiverDec 22, 2027
10D2297900Physician Practices of MSMC, LLC4302 Alton Road, Ste 490, Miami Beach, FL 33140Certificate of waiverJan 23, 2028
10D2311003Physician Practices of MSMC LLC4302 Alton Road, Simon Building, Suite 940, Miami Beach, FL 33140Certificate of waiverSep 15, 2026
10D2318110Physician Practices of MSMC, LLC4302 Alton Road, Ste 950, Miami Beach, FL 33140Certificate of waiverFeb 4, 2027

National Provider Directory

National Provider Directory
Part of
Mount Sinai Hospital

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2845 Aventura Blvd
Ste 135
Aventura, FL 33180
Phone (305) 674-5925

6050 W 20th Ave
Fl 3
Hialeah, FL 33016
Phone (786) 584-5050

4300 Alton Rd
Ste 2245
Miami Beach, FL 33140
Phone (305) 674-2906

4300 Alton Rd
Ste 2522
Miami Beach, FL 33140
Phone (305) 374-2240

4300 Alton Rd
Ste 750
Miami Beach, FL 33140
Phone (305) 674-2793

4302 Alton Rd
Ste 100
Miami Beach, FL 33140
Phone (305) 534-4564

4302 Alton Rd
Ste 440
Miami Beach, FL 33140
Phone (305) 531-1204

4302 Alton Rd
Ste 490
Miami Beach, FL 33140
Phone (305) 532-6262

4302 Alton Rd
Ste 600
Miami Beach, FL 33140
Phone (305) 531-8112

4302 Alton Rd
Ste 750B
Miami Beach, FL 33140
Phone (305) 577-7898

4302 Alton Rd
Ste 820
Miami Beach, FL 33140
Phone (305) 532-4835

4306 Alton Rd
Fl 2
Miami Beach, FL 33140
Phone (305) 535-3349

4306 Alton Rd
Ste 650
Miami Beach, FL 33140
Phone (305) 674-2543

4310 Alton Rd
3Rd FL
Miami Beach, FL 33140
Phone (305) 535-3300

10990 Biscayne Blvd
Unit 19
Miami Shores, FL 33161
Phone (305) 891-3710

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 299

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 299

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1356630628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 403429",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331401429",
            "telephone_number": "305-674-2841",
            "fax_number": "303-535-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD",
            "address_2": "SUITE 830",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402891",
            "telephone_number": "305-674-2404",
            "fax_number": "305-674-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN PRACTICES OF MSMC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC.",
        "enumeration_date": "2011-04-07",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "MERVYN",
        "authorized_official_title_or_position": "SR VP OF FINANCE",
        "authorized_official_telephone_number": "305-674-2662",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME36383",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME388396",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/",
            "affiliation": "N",
            "endpointDescription": "FHIR API",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "4302 Alton Rd",
            "address_2": "Suite 830",
            "city": "Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331402891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.msmc.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "4302 Alton Rd",
            "address_2": "Suite 830",
            "city": "Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331402891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.