NPIMap

Organization Active NPI

Neurosurg LLC

  • Neurological Surgery Physician
  • Miami Beach, FL
National Provider Identifier
1821021056
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
NEUROSURG LLC
Practice address
4302 Alton Rd
Ste 830
Miami Beach, FL 33140
Phone
(305) 674-2950
NPI assigned
Jul 9, 2006
Last updated
Mar 9, 2026By the provider in NPPES
Organization subpart
No

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
Mervyn Mills
Title
Sr VP of Finance
Phone
(305) 674-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

4302 Alton Rd
Ste 830
Miami Beach, FL 33140

Mailing address

4302 Alton Rd
Ste 830
Miami Beach, FL 33140
Phone (305) 674-2950

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091028000306 FL Part B Supplier - Clinic/Group Practice 2860412509 Receives reassigned benefits from 30 practitioners
Practice locations: Hialeah, FL; Miami Shores, FL; Miami Beach, FL; Aventura, FL

National Provider Directory

National Provider Directory

Member of 1

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

Locations

2845 NE 199th St
Ste 250
Miami, FL 33180
Phone (305) 692-1080

323 Sunny Isles Blvd
Ste 602603
Sunny Isles Beach, FL 33160

Networks

  • HealthSun Health Plans Network

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71720

Practitioners & affiliated clinicians

Practitioners 30

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 30

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1821021056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD",
            "address_2": "STE 830",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "33140",
            "telephone_number": "305-674-2950",
            "fax_number": "305-674-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD",
            "address_2": "STE 830",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "33140",
            "telephone_number": "305-674-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "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": "305-674-2121"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.