Individual provider Active NPI

Arlene Betancourt, M.D.

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1386678712
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K0264 Issued in TX
Practice address
5939 Harry Hines Blvd Professional Building 2
Dallas, TX 75390-3600
Phone
(214) 645-8620
Fax
(214) 645-8621
NPI assigned
Jul 10, 2006
Last updated
May 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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 K0264 TX Primary

Addresses

Primary practice location

5939 Harry Hines Blvd Professional Building 2
Dallas, TX 75390-3600

Mailing address

PO Box 845347
Dallas, TX 75284-7208
Phone (469) 291-3372

Other identifiers 1

IdentifierTypeStateIssuer
107498103MedicaidTX

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
I20051014000093 TX Practitioner - Internal Medicine 2961427323 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K0264TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Jan 1, 2016 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jan 1, 2017 Accepting new patients
Dallas County Hospital District CurrentSince Jan 26, 2021 Accepting new patients
Dallas County Hospital District Internal Medicine CurrentSince Jan 26, 2021 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Internal Medicine CurrentSince Jan 1, 2017 Accepting new patients
Healthtexas Provider Network Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Dallas County Hospital District Current Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Healing Hands Ministries Inc. Past Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

5151 Maple Ave
#4A
Dallas, TX 75235
Phone (214) 590-2800

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

5939 Harry Hines Blvd
Bldg 2
Dallas, TX 75235
Phone (214) 645-6020

7920 Elmbrook Dr
Ste 120
Dallas, TX 75247
Phone (214) 266-0312

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: abetancourt85348@direct.phhs.org

Organizations & group practices 9

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1386678712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845347",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752847208",
            "telephone_number": "469-291-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5939 HARRY HINES BLVD PROFESSIONAL BUILDING 2",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753903600",
            "telephone_number": "214-645-8620",
            "fax_number": "214-645-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCOURT",
        "first_name": "ARLENE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K0264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107498103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.