Organization Active NPI

Neuro Medical Group LLC

  • Internal Medicine Physician
  • Lewisville, TX
National Provider Identifier
1932060746
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NEURO MEDICAL GROUP LLC
Practice address
PMB 1504 405 State Highway, 121 by Pass, Ste a 250
Lewisville, TX 75067-4183
Phone
(651) 318-2025
NPI assigned
Nov 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
Aravindan Jayabalan
Title
Owner
Phone
(651) 318-2025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

PMB 1504 405 State Highway, 121 by Pass, Ste a 250
Lewisville, TX 75067-4183

Mailing address

PMB 1504 405 State Highway, 121 by Pass, Ste a 250
Lewisville, TX 75067-4183
Phone (651) 318-2025

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1932060746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 1504 405 STATE HIGHWAY, 121 BY PASS, STE A 250",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674183",
            "telephone_number": "651-318-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PMB 1504 405 STATE HIGHWAY, 121 BY PASS, STE A 250",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674183",
            "telephone_number": "651-318-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-20",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "JAYABALAN",
        "authorized_official_first_name": "ARAVINDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-318-2025"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.