Individual provider Active NPI

Melinda Gutierrez, PA

  • Physician Assistant
  • Surprise, AZ
National Provider Identifier
1033427554
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4701 Issued in AZ
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

Updated by the provider on Jun 24, 2014

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

Specialties & licenses 1

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110314000467 AZ Practitioner - Physician Assistant 3173705019 Reassigns benefits to 3 organizations

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
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

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 Hospital, Sun City West, AZ, CCN 030093
  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087
  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092
  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002
  • Banner Boswell Medical Center Hospital, Sun City, AZ, CCN 030061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4701AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Jul 1, 2020 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Sep 1, 2017 Accepting new patients
Banner Physician Specialists Arizona LLC Current Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Sep 1, 2017 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Sep 1, 2017 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Sep 1, 2017 Accepting new patients
Honorhealth Ambulatory CurrentSince Jul 1, 2020 Accepting new patients
Lpwallmd PC PastSince Dec 15, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.