Individual provider Active NPI

Luis Gutierrez-Perry, M.D.

  • Surgery Physician
  • Eagle Pass, TX
National Provider Identifier
1023083862
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G7818 Issued in TX
Practice address
3406 Bob Rogers Dr.
Suite 120
Eagle Pass, TX 78852-5942
Phone
(830) 757-4913
Fax
(830) 757-8708
NPI assigned
Feb 22, 2006
Last updated
Jun 17, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G7818 TX Primary
Vascular Surgery Physician 2086S0129X G7818 TX

Addresses

Primary practice location

3406 Bob Rogers Dr.
Suite 120
Eagle Pass, TX 78852-5942

Mailing address

3406 Bob Rogers Dr.
Suite 120
Eagle Pass, TX 78852-5942
Phone (830) 757-4913

Other identifiers 1

IdentifierTypeStateIssuer
114909801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070131000155 TX Practitioner - General SurgeryPractitioner - Vascular Surgery 2961403134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3406 Bob Rogers Dr
Suite 120
Eagle Pass, TX 78852-5942
Phone (830) 757-4900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
91.68
Improvement activities
40
Cost
83.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy12
Upper gastrointestinal (GI) endoscopy for acid reflux27
Removal of tissue32
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maverick County Hospital District CurrentSince Jan 1, 2007 Accepting new patients
Maverick County Hospital District CurrentSince Jan 1, 2007 Accepting new patients
Fort Duncan Medical Center LP Past Accepting new patients

Locations

2149 El Indio Hwy
Eagle Pass, TX 78852
Phone (830) 757-1656

3406 Bob Rogers Dr
Ste 120
Eagle Pass, TX 78852
Phone (830) 757-4570

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308268800000",
    "number": "1023083862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 BOB ROGERS DR.",
            "address_2": "SUITE 120",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788525942",
            "telephone_number": "830-757-4913",
            "fax_number": "830-757-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3406 BOB ROGERS DR.",
            "address_2": "SUITE 120",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788525942",
            "telephone_number": "830-757-4913",
            "fax_number": "830-757-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ-PERRY",
        "first_name": "LUIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2011-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "G7818",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "G7818",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114909801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Pass, TX

Sources for this page

Verify at the official NPI Registry.