Active NPI
Melinda Gutierrez, PA
- Physician Assistant
- Surprise, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4701
- Practice address
- 15571 N Reems Rd
Surprise, AZ 85374-9584 - Phone
- (623) 544-6932
- Fax
- (623) 321-1070
- NPI assigned
- Sep 17, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4701 | AZ | Primary |
Addresses
Primary practice location
15571 N Reems Rd
Surprise, AZ 85374-9584
Mailing address
15571 N Reems Rd
Surprise, AZ 85374-9584
Phone (623) 544-6932
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10510 N 92ND St
Scottsdale, AZ 85258-4566
15000 N 83Rd Ave
Peoria, AZ 85381-2002
19636 N 27TH Ave
Suite 201
Phoenix, AZ 85027-4015
Phone (623) 516-4400
9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (480) 323-3000
9201 E Mountain View Rd
Scottsdale, AZ 85258-5140
Hospital & facility affiliations
- Banner del E. Webb Medical Center
- Honorhealth Scottsdale Shea Medical Center
- Honorhealth Deer Valley Medical Center
- Banner - University Medical Center Phoenix
- Banner Boswell Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4701 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Banner - University Physician Specialists LLC | Current | Accepting new patients | |
| Banner Physician Specialists Arizona LLC | Current | Accepting new patients | |
| Banner - University Physician Specialists LLC | Current | Accepting new patients | |
| Banner Physician Specialists Arizona LLC | Current | Accepting new patients | |
| Banner Physician Specialists Arizona LLC | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Lpwallmd PC | Past | Accepting new patients | |
| Honorhealth Ambulatory | Past | Accepting new patients |
Locations
15000 N 83rd Ave
Unit 210
Peoria, AZ 85381
Phone (623) 300-9011
9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927
1441 N 12th St
Phoenix, AZ 85006
Phone (602) 495-4577
10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250
9201 E Mountain View Rd
Ste 120
Scottsdale, AZ 85258
Phone (623) 887-2912
10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690
13650 N 99th Ave
Sun City, AZ 85351
Phone (623) 465-6460
14416 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 583-5083
14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000
Interoperability endpoints
- mgutierrez369478@direct.honorhealth.com
Organizations & group practices 10
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.
-
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1437529245
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1821368218
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1164255865
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1316228802
-
- Multi-Specialty Clinic/Center
- Page, AZ
- NPI 1366799355
-
- Surgery Physician
- Scottsdale, AZ
- NPI 1114250487
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1891518130
-
- Cardiovascular Disease Physician
- Scottsdale, AZ
- NPI 1275833915
-
- Vascular Surgery Physician
- Scottsdale, AZ
- NPI 1457168643
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1841224870
-
- General Acute Care Hospital
- Sun City, AZ
- NPI 1952560914
-
- General Acute Care Hospital
- Sun City West, AZ
- NPI 1588823553
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1386608859
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1528169125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403568000000",
"number": "1033427554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15571 N REEMS RD",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853749584",
"telephone_number": "623-544-6932",
"fax_number": "623-321-1070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15571 N REEMS RD",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853749584",
"telephone_number": "623-544-6932",
"fax_number": "623-321-1070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "MELINDA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-17",
"last_updated": "2014-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "4701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.