Individual provider Active NPI

Matthew Boehme, D.O.

  • Internal Medicine Physician
  • Tyler, TX
National Provider Identifier
1215460183
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
S5562 Issued in TX
Practice address
2231 W Gentry Pkwy
Tyler, TX 75702-2809
Phone
(903) 535-9041
Fax
(903) 787-5098
NPI assigned
Apr 7, 2017
Last updated
Feb 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X S5562 TX Primary

Addresses

Primary practice location

2231 W Gentry Pkwy
Tyler, TX 75702-2809

Mailing address

1000 E 5TH St Ste 400
Tyler, TX 75701-3362
Phone (903) 596-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200629002115 TX Practitioner - Internal Medicine 4981026481 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tyler Family Circle of CareGroup PAC ID 4587812888, 28 clinicians

Practice addresses (Care Compare)

2231 W Gentry Pkwy
Tyler, TX 75702-2809
Phone (903) 535-9041

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
S5562TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tyler Family Circle of Care CurrentSince Jul 1, 2021 Accepting new patients
Etmc Physician Group Inc. CurrentSince Jun 24, 2020 Accepting new patients
Etmc Physician Group Inc. CurrentSince Jun 24, 2020 Accepting new patients
Starks Medical Past Accepting new patients

Locations

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

1000 E 5th St
Ste 400
Tyler, TX 75701
Phone (903) 593-1749

214 E Houston St
Tyler, TX 75702
Phone (903) 593-1892

2231 W Gentry Pkwy
Tyler, TX 75702
Phone (903) 877-7343

523 S Fannin Ave
Tyler, TX 75702

Interoperability endpoints

  • Direct secure messaging: mboehme255607@christushealth.direct-ci.net
  • Direct secure messaging: mboehme354993@ahs.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1215460183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E 5TH ST STE 400",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013362",
            "telephone_number": "903-596-3500",
            "fax_number": "903-596-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 W GENTRY PKWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757022809",
            "telephone_number": "903-535-9041",
            "fax_number": "903-787-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEHME",
        "first_name": "MATTHEW",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-07",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S5562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.