Individual provider Active NPI

Philip M Demola, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Melbourne, FL
National Provider Identifier
1942484688
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS14694 Issued in FL
Practice address
7955 Spyglass Hill Rd Ste a
Melbourne, FL 32940-8249
Phone
(321) 255-6670
Fax
(321) 242-2545
NPI assigned
Dec 17, 2007
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X OS14694 FL Primary

Addresses

Primary practice location

7955 Spyglass Hill Rd Ste a
Melbourne, FL 32940-8249

Mailing address

7955 Spyglass Hill Rd Ste a
Melbourne, FL 32940-8249
Phone (321) 255-6670

Other identifiers 4

IdentifierTypeStateIssuer
VE7HVOtherFLFLORIDA BLUE
OS14694OtherFLFLORIDA MEDICAL LICENSE
9356777OtherFLCIGNA
6470221OtherFLUHC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171004003147 FL Practitioner - Physical Medicine and Rehabilitation 3971878703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Philadelphia College of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millenium Medical Management LLCGroup PAC ID 3577656339, 3 clinicians

Practice addresses (Care Compare)

7955 Spyglass Hill Rd
Suite a
Melbourne, FL 32940-8249
Phone (321) 255-6670

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Millenium Medical Management LLC Physical Medicine & Rehabilitation CurrentSince Aug 21, 2017 Accepting new patients
Vip Neurology CurrentSince Aug 21, 2017 Accepting new patients

Locations

7955 Spyglass Hill Rd
Ste A
Melbourne, FL 32940
Phone (321) 255-6670

494 N Washington Ave
Titusville, FL 32796
Phone (321) 267-8311

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

Interoperability endpoints

  • Direct secure messaging: pdemola71507@epicdirect.hf.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1942484688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7955 SPYGLASS HILL RD STE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408249",
            "telephone_number": "321-255-6670",
            "fax_number": "321-242-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7955 SPYGLASS HILL RD STE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408249",
            "telephone_number": "321-255-6670",
            "fax_number": "321-242-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMOLA",
        "first_name": "PHILIP",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-17",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS14694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "VE7HV",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "OS14694",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9356777",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "6470221",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.