Individual provider Active NPI

Theresa Santos Totah, PA-C

  • Physician Assistant
  • North Richland Hills, TX
National Provider Identifier
1477241347
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4375 Booth Calloway Rd Ste 307
North Richland Hills, TX 76180-8364
Phone
(682) 463-0400
NPI assigned
Apr 27, 2023
Last updated
Apr 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 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

4375 Booth Calloway Rd Ste 307
North Richland Hills, TX 76180-8364

Mailing address

2028 Sundance Pkwy
New Braunfels, TX 78130-2750
Phone (512) 754-8676

Other practice location 1

1305 Wonder World Dr Ste 200
San Marcos, TX 78666-7502
Phone (512) 754-8676

Other practice location 2

1180 Seton Pkwy Ste 320
Kyle, TX 78640-6179
Phone (512) 754-8676

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
I20230516003604 TX Practitioner - Physician Assistant 7416313465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1305 Wonder World Dr
Suite 200
San Marcos, TX 78666-7502
Phone (512) 754-8476

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
66.51
Promoting interoperability
98
Improvement activities
40
Cost
71.76

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC CurrentSince May 5, 2023 Accepting new patients
Texas Digestive Disease Consultants, PLLC Current Accepting new patients
Texas Digestive Disease Consultants PLLC CurrentSince May 5, 2023 Accepting new patients

Locations

601 S Main St
Keller, TX 76248
Phone (817) 741-4347

4100 Everett
Ste 210
Kyle, TX 78640
Phone (512) 268-8126

2028 Sundance Pkwy
New Braunfels, TX 78130
Phone (830) 609-1933

4375 Booth Calloway Rd
Ste 307
North Richland Hills, TX 76180
Phone (682) 463-0400

5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860

1305 Wonder World Dr
Ste 200
San Marcos, TX 78666
Phone (512) 754-8476

Organizations & group practices 3

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": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1477241347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 SUNDANCE PKWY",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302750",
            "telephone_number": "512-754-8676",
            "fax_number": "512-754-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 BOOTH CALLOWAY RD STE 307",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808364",
            "telephone_number": "682-463-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 Wonder World Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "TX",
            "postal_code": "786667502",
            "country_code": "US",
            "telephone_number": "512-754-8676",
            "fax_number": "512-371-6891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1180 Seton Pkwy Ste 320",
            "address_purpose": "LOCATION",
            "city": "Kyle",
            "state": "TX",
            "postal_code": "786406179",
            "country_code": "US",
            "telephone_number": "512-754-8676",
            "fax_number": "512-371-6891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOTAH",
        "first_name": "THERESA",
        "middle_name": "SANTOS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

Verify at the official NPI Registry.