NEREIDA ESPARZA M.D.
NPI 1013233006
Family Medicine in Berwyn, IL

Active since April 15, 2010PECOS EnrolledAccepts Medicare Assignment
3231 EUCLID AVE, 5TH FLOOR, BERWYN, IL 60402(708) 783-2000(708) 783-3656 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nereida Esparza M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEREIDA ESPARZA M.D. (NPI 1013233006) is an individual family medicine provider in Berwyn, Illinois, licensed in Illinois (036131923) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Macneal Hospital, and is a graduate of University Of Chicago, Pritzker School Of Medicine (2010).

NPPES Registry Identity

NPI1013233006
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNEREIDA ESPARZACredential: M.D.
Location Address3231 EUCLID AVE, 5TH FLOORBerwyn, IL 60402-3471
Mailing Address3231 Euclid Ave, 5th FloorBerwyn, IL 60402-3471 · (708) 783-2000 · Fax (708) 783-3656
Fax(708) 783-3656
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2010
Enumeration DateApril 15, 2010
Last NPPES UpdateSeptember 1, 2022
NPPES CertifiedSeptember 1, 2022
NPI 1013233006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in IL · 036131923 Licensed in IL · 125-058895
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3231 EUCLID AVE, Berwyn, IL 60402

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nereida Esparza M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305071051
PECOS Enrollment IDI20131105000730
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
54 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
46 services40 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
46 services33 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services19 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
15 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Macneal Hospital

Acute Care Hospitals · Berwyn, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140054
Location3249 South Oak Park AvenueBerwyn, IL 60402 · Cook County
Emergency services Birthing friendly

Loyola University Medical Center

Acute Care Hospitals · Maywood, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140276
Location2160 S 1st AvenueMaywood, IL 60153 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
3231 EUCLID AVE
BERWYN, IL 60402
Internal Medicine (Cardiovascular Disease)
3231 EUCLID AVE, SUITE 201
BERWYN, IL 60402
Internal Medicine (Pulmonary Disease)
3231 EUCLID AVE, SUITE 405
BERWYN, IL 60402
Internal Medicine (Pulmonary Disease)
3231 EUCLID AVE
BERWYN, IL 60402
Internal Medicine
3231 EUCLID AVE
BERWYN, IL 60402
Internal Medicine (Pulmonary Disease)
3231 EUCLID AVE, SUITE 405
BERWYN, IL 60402
Clinical Medical Laboratory
3231 EUCLID AVE
BERWYN, IL 60402
Internal Medicine
3231 EUCLID AVE
BERWYN, IL 60402

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nereida Esparza's NPI number?

The NPI number for Nereida Esparza is 1013233006. It was assigned to this individual provider in the NPPES registry on April 15, 2010.

Where is Nereida Esparza located?

Nereida Esparza practices at 3231 Euclid Ave 5th Floor, Berwyn, IL 60402. The listed phone number is (708) 783-2000.

What is Nereida Esparza's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nereida Esparza enrolled in Medicare?

Yes. Nereida Esparza is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Nereida Esparza affiliated with any hospitals?

According to CMS data, Nereida Esparza is affiliated with Macneal Hospital and Loyola University Medical Center.

When was this NPI record last updated?

The NPPES record for Nereida Esparza was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.