Active NPI
Camilo Alejandro Gutierrez, M.D.
- Epilepsy Physician
- Baltimore, MD
National Provider Identifier
1063623973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Epilepsy Physician
- License
- D84053
- Practice address
- 110 S Paca St FL 3
Baltimore, MD 21201-1642 - Phone
- (410) 328-6266
- NPI assigned
- May 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MT186349 | PA | |
| Neurology Physician | 2084N0400X | MD436699 | PA | |
| Epilepsy Physician | 2084E0001X | D84053 | MD | Primary |
Addresses
Primary practice location
110 S Paca St FL 3
Baltimore, MD 21201-1642
Mailing address
250 W Pratt St Ste 900
Baltimore, MD 21201-6808
Phone (215) 707-3040
Other practice location 1
3401 N Broad St
Philadelphia, PA 19140-5103
Phone (215) 707-3040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
16 S Eutaw St
Floor 3
Baltimore, MD 21201-1606
Phone (410) 328-4323
Hospital & facility affiliations
- University of Maryland Medical Center
- University of MD Capital Region Medical Center
- University of MD Shore Medical Center at Easton
- University of MD Medical Center Midtown Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT186349 | PA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Neurology Associates, P.a. | Current | Accepting new patients | |
| University of Maryland Neurology Associates, P.a. | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
16 S Eutaw St
Fl 3
Baltimore, MD 21201
Phone (410) 328-4448
110 S Paca St
Fl 3
Baltimore, MD 21201
Phone (410) 328-3100
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
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 and National Provider Directory roles.
-
- Specialist
- Baltimore, MD
- NPI 1811902489
-
- Specialist
- Baltimore, MD
- NPI 1720895121
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Upper Marlboro, MD
- NPI 1720099286
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1669565180
-
- General Acute Care Hospital
- Cambridge, MD
- NPI 1194784751
-
- General Acute Care Hospital
- Easton, MD
- NPI 1669431219
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1063623973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 W PRATT ST STE 900",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212016808",
"telephone_number": "215-707-3040",
"fax_number": "215-707-8235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S PACA ST FL 3",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011642",
"telephone_number": "410-328-6266"
}
],
"practiceLocations": [
{
"address_1": "3401 N Broad St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191405103",
"country_code": "US",
"telephone_number": "215-707-3040",
"fax_number": "215-707-8235",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "CAMILO",
"middle_name": "ALEJANDRO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MT186349",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MD436699",
"primary": false
},
{
"code": "2084E0001X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Epilepsy",
"state": "MD",
"license": "D84053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.