MEDEVAL, LLC
NPI 1740548346
General Practice in Texarkana, TX
About Medeval, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDEVAL, LLC (NPI 1740548346) is a healthcare organization registered as a general practice in Texarkana, Texas and active in the NPI registry since May 2012. The organization maintains a secondary practice location in Texarkana and lists Dewitt Charles Fortenberry, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Medeval, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Medeval, LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Medeval, LLC's NPI number?
The NPI number for Medeval, LLC is 1740548346. It was assigned to this organization in the NPPES registry on May 2, 2012.
Where is Medeval, LLC located?
Medeval, LLC is located at 4920 Elizabeth St, Texarkana, TX 75503. The listed phone number is (903) 792-3812.
What is Medeval, LLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Medeval, LLC enrolled in Medicare?
Yes. Medeval, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Medeval, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Medeval, LLC, in Internal Medicine and Nurse Practitioner. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Medeval, LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Medeval, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Medeval, LLC was last updated on September 17, 2023. 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.
# Medeval, Llc · NPI 1740548346
General Practice organization in Texarkana, Texas. Organization record, active in the CMS NPPES registry since May 2, 2012.
## Identity
- **NPI:** 1740548346 (Entity type: Organization)
- **Enumerated:** May 2, 2012
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Dewitt Fortenberry, MEDICAL DIRECTOR
## Practice location
- **Address:** 4920 ELIZABETH ST, Texarkana, TX 75503-2912
- **Phone:** (903) 792-3812
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Internal Medicine (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1740548346) · Data from the CMS NPPES public registry.