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RALPH ALHALEL M.D.
NPI 1700830353
Internal Medicine - Gastroenterology in Mcallen, TX

Active since May 19, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 45D2047878 · Certificate of Compliance
26.19/100
CMS Quality Rating
1200 E RIDGE RD, SUITE 5, MCALLEN, TX 78503(956) 661-9300(956) 661-0099 Get Directions Write a Review

NPPES record last updated: October 27, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ralph Alhalel M.d. NPPES

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

RALPH ALHALEL M.D. (NPI 1700830353) is an individual gastroenterology provider in Mcallen, Texas, licensed in Texas (J1839) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, holds a CLIA Certificate of Compliance certificate valid through November 17, 2026, and is affiliated with South Texas Health System.

NPPES Registry Identity

NPI1700830353
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameRALPH ALHALELCredential: M.D.
Location Address1200 E RIDGE RD, SUITE 5Mcallen, TX 78503-1527
Mailing Address1200 E Ridge Rd, Suite 5Mcallen, TX 78503-1527 · (956) 661-9300 · Fax (956) 661-0099
Phone(956) 661-9300
Fax(956) 661-0099
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateMay 19, 2006
Last NPPES UpdateOctober 27, 2017
✔ NPI 1700830353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in TX · J1839
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1200 E RIDGE RD, Mcallen, TX 78503
Open in Google Maps ↗

Other Identifiers 4

Medicare ID-Type Unspecified00013GTX
OtherTXB159759TX · Medicare
Medicaid122024601TX
Medicare UPINF64473TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ralph Alhalel 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 ID4082522115
PECOS Enrollment IDI20070626000525
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ralph Alhalel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ralph Alhalel PA
Same address
Gastroenterology
1200 E RIDGE RD, SUITE 5
Mcallen, TX 78503
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Ralph Alhalel, P.A.
  • 2 clinicians in this Medicare group
NPI 1902839046 (956) 661-9300
Endoscopy Anesthesia Services LLC
0.1 mi
Gastroenterology
1200 E SAVANNAH AVE STE 15
Mcallen, TX 78503
  • Reassigned Medicare billing, Texas enrollment
  • 10 clinicians in this Medicare group
NPI 1487487203 (956) 687-2673

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 45D2047878

Ralph Alhalel PA · Mcallen, TX
Active · expires Nov 17, 2026
CLIA Number45D2047878
Laboratory TypePhysician Office
Certificate Effective DateNovember 18, 2024
Certificate Expiration DateNovember 17, 2026
Laboratory DirectorLidia M. Showing
Laboratory Phone(956) 661-9300
Laboratory LocationRalph Alhalel PA1200 E Ridge Road, Suite 5, Mcallen, TX 78503
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas of Expertise CMS Part B claims 11

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.

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.
467 services302 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.
173 services140 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
116 services110 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
100 services100 patients
Measurement of liver stiffness 91200
Measurement of liver stiffness is a non-invasive procedure that helps assess the health of your liver. It uses sound waves to detect the hardness of the liver tissue, which can indicate conditions like fibrosis or cirrhosis. It's a simple, painless test that provides valuable information about your liver's health.
84 services64 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
80 services80 patients

Hospital Affiliations CMS Care Compare 3

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

South Texas Health System

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450119
Location1102 W Trenton RoadEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Rio Grande Regional Hospital

Acute Care Hospitals · Mcallen, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450711
Location101 E Ridge RdMcallen, TX 78503 · Hidalgo County
Emergency services Birthing friendly

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78503 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

26.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost87.31

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims372 services$2.31 avg. paid by Medicare
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims372 services$3.74 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims5,521 services$0.27 avg. paid by Medicare
Iv pole E0776
DME-Other DME · category DE000N
1 supplier24 claims24 services$4.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

VERONICA RESENDEZ LLC
Family Medicine
1200 E RIDGE RD
MCALLEN, TX 78503
Hidalgo County (956) 631-3892
MARIA E HOFFMAN-GUARDIA M.D.
Pediatrics
1200 E RIDGE RD, STE.#12
MCALLEN, TX 78503
Hidalgo County (956) 631-5333
MR. KANNAN RAMAMURTHY M.D.
Internal Medicine
1200 E RIDGE RD, SUITE 7
MCALLEN, TX 78503
Hidalgo County (956) 631-3982
ELYSSA ELIZONDO
Physician Assistant
1200 E RIDGE RD
MCALLEN, TX 78503
Hidalgo County (956) 631-5333
SAENZ MEDICAL PHARMACY RIDGE, INC.
Pharmacy (Community/Retail Pharmacy)
1200 E RIDGE RD, SUITE 13
MCALLEN, TX 78503
Hidalgo County (956) 630-2500
MARLA MELINDA ANAYA PA-C
Physician Assistant
1200 E RIDGE RD, MED POINT CENTER II SUITE 12
MCALLEN, TX 78503
Hidalgo County (956) 631-5333
DR. MANGALA M RAMAMURTHY M.D.
Internal Medicine
1200 E RIDGE RD, SUITE 7
MCALLEN, TX 78503
Hidalgo County (956) 631-3982
WOMANKIND OB/GYN PA
Obstetrics & Gynecology
1200 E RIDGE RD, SUITE 3
MCALLEN, TX 78503
Hidalgo County (956) 688-5922

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 Ralph Alhalel's NPI number?

The NPI number for Ralph Alhalel is 1700830353. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Ralph Alhalel located?

Ralph Alhalel practices at 1200 E Ridge Rd Suite 5, Mcallen, TX 78503. The listed phone number is (956) 661-9300.

What is Ralph Alhalel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ralph Alhalel enrolled in Medicare?

Yes. Ralph Alhalel 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.

Which organizations bill Medicare for Ralph Alhalel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ralph Alhalel reassigns Medicare benefits to 2 organizations: Ralph Alhalel PA (Mcallen, TX) and Endoscopy Anesthesia Services LLC (Mcallen, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ralph Alhalel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Ralph Alhalel hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 45D2047878) is associated with this NPI, valid through November 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ralph Alhalel accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Ralph Alhalel 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 Ralph Alhalel affiliated with any hospitals?

According to CMS data, Ralph Alhalel is affiliated with South Texas Health System, Rio Grande Regional Hospital and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Ralph Alhalel was last updated on October 27, 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.