Individual provider Active NPI

Victor E. Oliva Gutierrez, MD

  • Internal Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1013147818
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
BP10034690 Issued in TX
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

Updated by the provider on Dec 17, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130308000097 NM Practitioner - Internal Medicine 8628223039 Reassigns benefits to 2 organizations

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
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians
KND Development 59 LLCGroup PAC ID 3678602802, 176 clinicians

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 Hospital, Albuquerque, NM, CCN 320009
  • Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021
  • Kindred Hospital Albuquerque Long-term care hospital, Albuquerque, NM, CCN 322002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10034690TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59 LLC CurrentSince Nov 26, 2012 Accepting new patients
Presbyterian Healthcare Services Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
KND Development 59, LLC CurrentSince Nov 26, 2012 Accepting new patients
Presbyterian Healthcare Services Internal Medicine CurrentSince Jul 1, 2025 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.