Medeval, LLC
NPI 1740548346 · General Practice Physician · Texarkana, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Medeval, LLC is a General Practice Physician organization in Texarkana, TX (NPI 1740548346).
Provider details
- NPI number
- 1740548346
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dewitt Fortenberry, Medical Director(301) 641-5512
- License
- L8691 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 116 Westlake RdTexarkana, TX 75501-0006Phone: (903) 293-7093
Registry dates
- Enumerated
- 2012-05-02
- Last updated
- 2023-09-17
- Certified
- 2023-09-17
Frequently asked questions
- What is Medeval, LLC's NPI number?
- Medeval, LLC's National Provider Identifier (NPI) is 1740548346, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medeval, LLC?
- Medeval, LLC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Medeval, LLC located?
- Medeval, LLC's practice location on file with NPPES is 4920 Elizabeth St, Texarkana, TX 75503-2912.
- What is Medeval, LLC's phone number?
- The practice phone number listed in the NPPES registry for Medeval, LLC is (903) 792-3812.
- Does Medeval, LLC accept Medicare?
- Medeval, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Medeval, LLC?
- The authorized official listed on Medeval, LLC's NPPES record is Dewitt Fortenberry, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medeval, LLC's NPI active?
- Yes — Medeval, LLC's NPI (1740548346) is active in the NPPES registry as of the last update on 2023-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.