Individual provider Active NPI

Aldo Gutierrez, M.D.

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1093068462
Registry record updated Sep 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
276288-1 Issued in NY
Practice address
1409 Madison Ave Apt 2S
New York, NY 10029-6964
Phone
(786) 355-9104
NPI assigned
Oct 22, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 276288-1 NY Primary

Addresses

Primary practice location

1409 Madison Ave Apt 2S
New York, NY 10029-6964

Mailing address

1409 Madison Ave Apt 2S
New York, NY 10029-6964
Phone (786) 355-9104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GU2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151014000599 FL Practitioner - Emergency Medicine 5698084606 Reassigns benefits to 6 organizations
I20231011002307 GU Practitioner - Emergency Medicine 5698084606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
276288-1NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Florida Emergency Management LLC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Thse - Marco Urgent Care LLC CurrentSince Jun 1, 2024 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Aug 1, 2024 Accepting new patients
Guam Memorial Hospital CurrentSince Aug 19, 2023 Accepting new patients
Synergy Medical Collective, PA Emergency Medicine CurrentSince Feb 1, 2024 Accepting new patients
Westchester General Hospital, Inc. CurrentSince Feb 17, 2024 Accepting new patients
Integrated Emergency Medicine Specialists LLC Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Aug 1, 2024 Accepting new patients
Westchester General Hospital, Inc. CurrentSince Feb 17, 2024 Accepting new patients
Guam Memorial Hospital CurrentSince Aug 19, 2023 Accepting new patients

Locations

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

40 S Heathwood Dr
Marco Island, FL 34145
Phone (239) 393-4079

2500 SW 75th Ave
Miami, FL 33155
Phone (305) 431-0577

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555

850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505088000000",
    "number": "1093068462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 MADISON AVE APT 2S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296964",
            "telephone_number": "786-355-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 MADISON AVE APT 2S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296964",
            "telephone_number": "786-355-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "ALDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-22",
        "last_updated": "2017-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "276288-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.