Individual provider Active NPI

Sylvia Gutierrez, MD

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1023103264
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23090 Issued in AZ
Practice address
6707 N 19TH Ave 104
Phoenix, AZ 85015
Phone
(602) 246-9229
Fax
(602) 246-8410
NPI assigned
Oct 4, 2006
Last updated
Feb 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23090 AZ Primary

Addresses

Primary practice location

6707 N 19TH Ave 104
Phoenix, AZ 85015

Mailing address

6707 N 19TH Ave 104
Phoenix, AZ 85015
Phone (602) 246-9229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050802000338 AZ Practitioner - Family Practice 0143258061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6707 N 19TH Ave
Suite 104
Phoenix, AZ 85015-1105
Phone (602) 246-9229

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sylvia Gutierrez MD Family Medicine Family Medicine CurrentSince Oct 16, 2006 Accepting new patients
VHS Outpatient Clinics, Inc. Family Medicine PastSince Aug 23, 2020 Accepting new patients

Locations

6707 N 19th Ave
Ste 104
Phoenix, AZ 85015
Phone (602) 246-8459

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1023103264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6707 N 19TH AVE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85015",
            "telephone_number": "602-246-9229",
            "fax_number": "602-246-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 N 19TH AVE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85015",
            "telephone_number": "602-246-9229",
            "fax_number": "602-246-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "SYLVIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "23090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.