CHAVELI EZPELETA LICATA AA
NPI 1114365509
Anesthesiologist Assistant in Houston, TX

Active since June 07, 2013Accepts Medicare Assignment
82.38/100
CMS Quality Rating
6411 FANNIN ST, HOUSTON, TX 77030(713) 500-6200 Get Directions Write a Review

NPPES record last updated: May 25, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Chaveli Ezpeleta Licata Aa NPPES

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

CHAVELI EZPELETA LICATA AA (NPI 1114365509) is an individual anesthesiologist assistant in Houston, Texas, licensed in Texas (1529) and active in the NPI registry since June 2013. She is affiliated with Memorial Hermann - Texas Medical Center and is a graduate of Other (2013).

NPPES Registry Identity

NPI1114365509
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameCHAVELI EZPELETA LICATACredential: AA
Location Address6411 FANNIN STHouston, TX 77030-1501
Mailing AddressPo Box 301173Dallas, TX 75303-1173 · (713) 500-3500
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 7, 2013
Last NPPES UpdateMay 25, 2017
NPI 1114365509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License Licensed in TX · 1529
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
6411 FANNIN ST, Houston, TX 77030

Other Names 1

Former Name (1)Chaveli Aberasturi Ezpeleta Aa

Accepted Insurance

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

Chaveli Ezpeleta Licata Aa 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 ID648409425
PECOS Enrollment IDI20140128001374

Hospital Affiliations CMS Care Compare

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

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.

Emergency Medicine
6411 FANNIN ST
HOUSTON, TX 77030
Radiology (Diagnostic Radiology)
6411 FANNIN ST
HOUSTON, TX 77030
Registered Nurse (Critical Care Medicine)
6411 FANNIN ST
HOUSTON, TX 77030
Anesthesiologist Assistant
6411 FANNIN ST
HOUSTON, TX 77030
Dentist (General Practice)
6411 FANNIN ST
HOUSTON, TX 77030
Emergency Medicine
6411 FANNIN ST
HOUSTON, TX 77030
Anesthesiology
6411 FANNIN ST
HOUSTON, TX 77030
Registered Nurse (Critical Care Medicine)
6411 FANNIN ST
HOUSTON, TX 77030

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 Chaveli Licata's NPI number?

The NPI number for Chaveli Licata is 1114365509. It was assigned to this individual provider in the NPPES registry on June 7, 2013. The provider is also known as Chaveli Aberasturi Ezpeleta Aa.

Where is Chaveli Licata located?

Chaveli Licata practices at 6411 Fannin St, Houston, TX 77030. The listed phone number is (713) 500-6200.

What is Chaveli Licata's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Chaveli Licata enrolled in Medicare?

Yes. Chaveli Licata 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.

What insurance does Chaveli Licata accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company list Chaveli Licata as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Chaveli Licata affiliated with any hospitals?

According to CMS data, Chaveli Licata is affiliated with Memorial Hermann - Texas Medical Center.

When was this NPI record last updated?

The NPPES record for Chaveli Licata was last updated on May 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.