Organization Active NPI

Millennia Wellness MD PLLC

  • Internal Medicine Physician
  • Frisco, TX
National Provider Identifier
1265325898
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MILLENNIA WELLNESS MD PLLC
Practice address
3246 Preston Rd Ste 620
Frisco, TX 75034-9077
Phone
(214) 407-7826
Fax
(214) 407-7898
NPI assigned
Jun 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Authorized official

Name
Biju Mathew, MDNPI 1700170867
Title
Owner
Phone
(214) 407-7826

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 1

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

Addresses

Primary practice location

3246 Preston Rd Ste 620
Frisco, TX 75034-9077

Mailing address

3246 Preston Rd Ste 620
Frisco, TX 75034-9077
Phone (214) 407-7826

Other practice location 1

400 W Lbj Fwy Ste 130
Irving, TX 75063-3700
Phone (972) 990-5222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250912003993 TX Part B Supplier - Clinic/Group Practice 6002319167 Receives reassigned benefits from 2 practitioners
Practice locations: Frisco, TX

National Provider Directory

National Provider Directory

Locations

3246 Preston Rd
Ste 620
Frisco, TX 75034
Phone (214) 407-7826

Practitioners & affiliated clinicians

Practitioners 3

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": "1748822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1265325898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3246 PRESTON RD STE 620",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349077",
            "telephone_number": "214-407-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3246 PRESTON RD STE 620",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349077",
            "telephone_number": "214-407-7826",
            "fax_number": "214-407-7898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 W Lbj Fwy Ste 130",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750633700",
            "country_code": "US",
            "telephone_number": "972-990-5222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MILLENNIA WELLNESS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "BIJU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-407-7826",
        "authorized_official_credential": "MD"
    },
    "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 Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.