Active NPI
Victor E. Oliva Gutierrez, MD
- Internal Medicine Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- BP10034690
- Practice address
- 700 High St. NE
Kindred Hospital - Albuquerque
Albuquerque, NM 87111-6221 - Phone
- (505) 242-4444
- Fax
- (505) 843-7170
- NPI assigned
- Jul 15, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | BP10034690 | TX | Primary |
Addresses
Primary practice location
700 High St. NE
Kindred Hospital - Albuquerque
Albuquerque, NM 87111-6221
Mailing address
5700 Papaya PL NE
Albuquerque, NM 87111-6221
Phone (915) 667-2264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 Central Ave SE
Albuquerque, NM 87106-4930
Phone (505) 841-1234
700 High St NE
Albuquerque, NM 87102-2565
Phone (502) 596-7358
Hospital & facility affiliations
- Lovelace Medical Center
- Presbyterian Hospital
- Kindred Hospital Albuquerque
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10034690 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KND Development 59 LLC | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Internal Medicine | Current | Accepting new patients |
| KND Development 59, LLC | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Internal Medicine | Current | Accepting new patients |
| Transitional Hospitals Corporation of New Mexico, LLC | Past | Accepting new patients |
Locations
8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200
1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124
700 High St NE
Albuquerque, NM 87102
Phone (505) 242-4444
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- Albuquerque, NM
- NPI 1215266754
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
Internal Medicine
-
- Hospitalist Physician
- Broken Arrow, OK
- NPI 1922950823
-
- Long Term Care Hospital
- Albuquerque, NM
- NPI 1811075484
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1306914213
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Psychiatric Hospital Unit
- Albuquerque, NM
- NPI 1598740482
-
- Long Term Care Hospital
- Albuquerque, NM
- NPI 1811075484
Long-term care hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355702400000",
"number": "1013147818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 PAPAYA PL NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871116221",
"telephone_number": "915-667-2264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 HIGH ST. NE",
"address_2": "KINDRED HOSPITAL - ALBUQUERQUE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871116221",
"telephone_number": "505-242-4444",
"fax_number": "505-843-7170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVA GUTIERREZ",
"first_name": "VICTOR",
"middle_name": "E.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-15",
"last_updated": "2012-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "BP10034690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.