Organization Active NPI

Millennium Medical Care, PLLC

  • Family Medicine Physician
  • Garland, TX
National Provider Identifier
1134627417
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P2515 Issued in TX
Legal business name
MILLENNIUM MEDICAL CARE, PLLC
Practice address
1805 W Campbell Rd Ste 101
Garland, TX 75044-2401
Phone
(906) 360-4755
Fax
(877) 311-0460
NPI assigned
Jan 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Authorized official

Name
Dr. Sadaf Saleem, MDNPI 1073775995
Title
President
Phone
(906) 360-4755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X P2515 TX Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X N9080 TX

Addresses

Primary practice location

1805 W Campbell Rd Ste 101
Garland, TX 75044-2401

Mailing address

7302 Covewood Dr
Garland, TX 75044-2624
Phone (906) 360-4755

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180301000309 TX Part B Supplier - Clinic/Group Practice 6800157173 Receives reassigned benefits from 2 practitioners
Practice locations: Garland, TX

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
45D2149107Millennium Medical Care PLLC1805 W Campbell Rd Ste 101, Garland, TX 75044Certificate of waiverMay 23, 2028

National Provider Directory

National Provider Directory

Locations

1805 W Campbell Rd
Ste 101
Garland, TX 75044
Phone (469) 931-2206

2719 Belt Line Rd
Garland, TX 75044
Phone (972) 414-6565

2719 Belt Line Rd
Ste B
Garland, TX 75044
Phone (972) 231-5848

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1134627417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7302 COVEWOOD DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750442624",
            "telephone_number": "906-360-4755",
            "fax_number": "877-311-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 W CAMPBELL RD STE 101",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750442401",
            "telephone_number": "906-360-4755",
            "fax_number": "877-311-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM MEDICAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-31",
        "last_updated": "2022-08-02",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "SALEEM",
        "authorized_official_first_name": "SADAF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "906-360-4755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P2515",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N9080",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.