RALPH EDWARD ESPARZA CRNA
NPI 1831661107
Nurse Anesthetist, Certified Registered in Houston, TX

Active since December 26, 2018Accepts Medicare Assignment
93.5/100
CMS Quality Rating
1500 CITYWEST BLVD, HOUSTON, TX 77042(713) 620-4000 Get Directions Write a Review

NPPES record last updated: October 18, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 18, 2019, Dec 26, 2018 (2 updates tracked since 2018).

About Ralph Edward Esparza Crna NPPES

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

RALPH EDWARD ESPARZA CRNA (NPI 1831661107) is an individual nurse anesthetist, certified registered in Houston, Texas, licensed in Texas (AP140711) and active in the NPI registry since December 2018. He is affiliated with Memorial Hermann Northeast Hospital and is a graduate of Other (2018).

NPPES Registry Identity

NPI1831661107
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameRALPH EDWARD ESPARZACredential: CRNA
Location Address1500 CITYWEST BLVDHouston, TX 77042-2300
Mailing AddressPo Box 840853Dallas, TX 75284-0853
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 26, 2018
Last NPPES UpdateOctober 18, 20192 updates tracked since enumeration
✔ NPI 1831661107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in TX · AP140711
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 706575 (TX)
1500 CITYWEST BLVD, Houston, TX 77042

Accepted 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 Edward Esparza Crna 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 ID9830431659
PECOS Enrollment IDI20190426001969

Medicare Billing Reassignments

2

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

Anesthesiology
1500 CITYWEST BLVD, SUITE 300
Houston, TX 77042
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: U S Anesthesia Partners Of Texas, PA
  • 3,804 clinicians in this Medicare group
Anesthesiology
4100 INTERNATIONAL PLZ STE 800
Fort Worth, TX 76109
  • Reassigned Medicare billing, Texas enrollment
  • 1,612 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
16 services16 patients
Anesthesia for other procedure on upper abdomen 00790
Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hermann Northeast Hospital

Acute Care Hospitals · Humble, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450684
Location18951 Memorial NorthHumble, TX 77338 · Harris County
Emergency services Birthing friendly

Hca Houston Healthcare Kingwood

Acute Care Hospitals · Kingwood, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450775
Location22999 Us Hwy 59Kingwood, TX 77325 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77042 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
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.

93.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.15
Improvement Activities40
Cost83.57

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.

Nurse Anesthetist, Certified Registered
1500 CITYWEST BLVD, STE. 300
HOUSTON, TX 77042
Nurse Anesthetist, Certified Registered
1500 CITYWEST BLVD, STE. 300
HOUSTON, TX 77042
Nurse Anesthetist, Certified Registered
1500 CITYWEST BLVD, SUITE 300
HOUSTON, TX 77042
Anesthesiology
1500 CITYWEST BLVD, STE. 300
HOUSTON, TX 77042
Nurse Anesthetist, Certified Registered
1500 CITYWEST BLVD, STE. 300
HOUSTON, TX 77042
Nurse Anesthetist, Certified Registered
1500 CITYWEST BLVD, STE. 300
HOUSTON, TX 77042
Anesthesiology
1500 CITYWEST BLVD, STE. 300
HOUSTON, TX 77042
Anesthesiology
1500 CITYWEST BLVD, STE. 300
HOUSTON, TX 77042

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 Esparza's NPI number?

The NPI number for Ralph Esparza is 1831661107. It was assigned to this individual provider in the NPPES registry on December 26, 2018.

Where is Ralph Esparza located?

Ralph Esparza practices at 1500 Citywest Blvd, Houston, TX 77042. The listed phone number is (713) 620-4000.

What is Ralph Esparza's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Ralph Esparza enrolled in Medicare?

Yes. Ralph 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.

Which organizations bill Medicare for Ralph Esparza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ralph Esparza reassigns Medicare benefits to 2 organizations: U. S. Anesthesia Partners Of Texas, P.A., (Houston, TX) and Emergenchealth PLLC (Fort Worth, 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 Esparza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ralph Esparza accept?

Health plans from Blue Cross and Blue Shield of Texas list Ralph Esparza 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 Esparza affiliated with any hospitals?

According to CMS data, Ralph Esparza is affiliated with Memorial Hermann Northeast Hospital and Hca Houston Healthcare Kingwood.

When was this NPI record last updated?

The NPPES record for Ralph Esparza was last updated on October 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.