Individual provider Active NPI

Betsabe Torres Phoodej, PA

  • Physician Assistant
  • Richardson, TX
National Provider Identifier
1174167506
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
708 W Spring Valley Rd
Richardson, TX 75080-7216
Phone
(214) 570-9400
NPI assigned
Oct 29, 2019
Last updated
May 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

708 W Spring Valley Rd
Richardson, TX 75080-7216

Mailing address

8112 Spring Valley Rd
Dallas, TX 75240-3829
Phone (214) 884-1705

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191227000844 TX Practitioner - Physician Assistant 5092149054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Topcare Medical Group IncGroup PAC ID 8426239153, 71 clinicians

Practice addresses (Care Compare)

2636 Walnut St
Clinicas Mi Doctor
Garland, TX 75042-6441
Phone (972) 487-5800

2815 S Hampton Rd
Clinicas Mi Doctor
Dallas, TX 75224-2329
Phone (214) 330-0137

410 E Pioneer Pkwy
300 Clinicas Mi Doctor
Grand Prairie, TX 75051-4984
Phone (469) 733-1890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Topcare Medical PA PastSince Apr 2, 2012 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: betsabe.torres.1@19725.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1174167506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8112 SPRING VALLEY RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752403829",
            "telephone_number": "214-884-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 W SPRING VALLEY RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750807216",
            "telephone_number": "214-570-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHOODEJ",
        "first_name": "BETSABE",
        "middle_name": "TORRES",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.