Individual provider Active NPI

Alvaro Tamayo Gutierrez, M.D.

  • Nephrology Physician
  • Ridgewood, NY
National Provider Identifier
1083136360
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
T5468 Issued in TX
Practice address
377 Onderdonk Ave
Ridgewood, NY 11385-1324
Phone
(917) 854-9516
NPI assigned
Jul 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X T5468 TX
Nephrology Physician 207RN0300X T5468 TX Primary

Addresses

Primary practice location

377 Onderdonk Ave
Ridgewood, NY 11385-1324

Mailing address

10700 McPherson Rd
Laredo, TX 78045-6268
Phone (440) 542-5000

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
I20220627001103 TX Practitioner - Internal Medicine 7810376563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hni Physician Services of Texas IncGroup PAC ID 5092128710, 14 clinicians

Practice addresses (Care Compare)

10700 McPherson Rd
Laredo, TX 78045-6268
Phone (512) 730-3056

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hni Physician Services of Texas, Inc CurrentSince Jun 15, 2022 Accepting new patients
Doctors Hospital of Laredo Past Accepting new patients

Locations

7500 Rialto Blvd
Ste 1-140
Austin, TX 78735

10700 McPherson Rd
Laredo, TX 78045
Phone (956) 523-2190

Interoperability endpoints

  • Direct secure messaging: atamayogutierrez374721@directhoustonmethodist.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1499472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1083136360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 MCPHERSON RD",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456268",
            "telephone_number": "440-542-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 ONDERDONK AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113851324",
            "telephone_number": "917-854-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMAYO GUTIERREZ",
        "first_name": "ALVARO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-08",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "T5468",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "T5468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

Verify at the official NPI Registry.