TEXAS PREMIER MEDICINE
NPI 1104536721
Internal Medicine in Grapevine, TX
About Texas Premier Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TEXAS PREMIER MEDICINE (NPI 1104536721) is a healthcare organization registered as an internal medicine in Grapevine, Texas and active in the NPI registry since December 2022. The organization lists Edwin Matthews, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Texas Premier Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Texas Premier Medicine, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Texas Premier Medicine's NPI number?
The NPI number for Texas Premier Medicine is 1104536721. It was assigned to this organization in the NPPES registry on December 5, 2022.
Where is Texas Premier Medicine located?
Texas Premier Medicine is located at 1631 Lancaster Dr, Grapevine, TX 76051. The listed phone number is (214) 232-5123.
What is Texas Premier Medicine's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Texas Premier Medicine enrolled in Medicare?
Yes. Texas Premier Medicine is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Texas Premier Medicine?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Texas Premier Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Texas Premier Medicine was last updated on December 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Texas Premier Medicine · NPI 1104536721
Internal Medicine organization in Grapevine, Texas. Organization record, active in the CMS NPPES registry since December 5, 2022.
## Identity
- **NPI:** 1104536721 (Entity type: Organization)
- **Enumerated:** December 5, 2022
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Edwin Matthews, OWNER
## Practice location
- **Address:** 1631 LANCASTER DR, Grapevine, TX 76051-3585
- **Phone:** (214) 232-5123
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 5, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1104536721) · Data from the CMS NPPES public registry.