Charles John Gutierrez, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

K9794 Issued in TX

Practice address

350 Pine St
Suite 1415
Beaumont, TX 77701-2441

Phone

(409) 924-8600

Fax

(409) 924-8607

NPI assigned

Nov 10, 2005

Last updated

Mar 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, NM2 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

Specialty

Vascular Surgery

Education

University of Southern California Keck School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Texas Surgical Associates, PAGroup PAC ID 8022059013, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vitalcaring Group Home health agency, Beaumont, TX, CCN 459471
• Harbor Home Health Home health agency, Beaumont, TX, CCN 679163

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charles.gutierrez@vascare.eclinicaldirectplus.com
• FHIR API: https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/GFGDCA/Endpoint/GFGDCA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• East Texas Surgical Associates, PA

  • Surgery Physician
  • Beaumont, TX
  • NPI 1497892152
  Medicare reassignment Care Compare group NPD Authorized official
• Robert Marriott Medical Corp

  dba Advantage Wound Care

  • Surgery Physician
  • El Segundo, CA
  • NPI 1083883938

  NM, TX

  Medicare reassignment
• Nirp Beaumont, PLLC

  dba PAD Specialists - Beaumont

  • Interventional Cardiology Physician
  • Beaumont, TX
  • NPI 1609392430

  Vascular Surgery

  NPD
• Robert Marriott Medical Corp

  • Surgery Physician
  • San Antonio, TX
  • NPI 1356892962
  NPD
• Charles J. Rodman, MD PA

  dba Vein Centers of Texas

  • Vascular Surgery Physician
  • Beaumont, TX
  • NPI 1215092689
  NPD (past)
• Methodist Physician Practices, PLLC

  • Surgery Physician
  • San Antonio, TX
  • NPI 1922252717
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Altus Home Health, LLC

  dba VitalCaring Group

  • Home Health Agency
  • Beaumont, TX
  • NPI 1679842298
  Care Compare affiliation
• JCH Inc

  dba Harbor Home Health

  • Home Health Agency
  • Beaumont, TX
  • NPI 1134128648
  Care Compare affiliation

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1104807627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PINE ST",
            "address_2": "SUITE 1415",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777012441",
            "telephone_number": "409-924-8600",
            "fax_number": "409-924-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PINE ST",
            "address_2": "SUITE 1415",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777012441",
            "telephone_number": "409-924-8600",
            "fax_number": "409-924-8607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1521 S Staples St Ste 510",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784043152",
            "country_code": "US",
            "telephone_number": "361-882-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "CHARLES",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "K9794",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "K9794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Catherine Elaine Guyote, FNP
• Gwendolyn L. Lavalais, M.D., P.a.
• H-E-B, LP (HEB Pharmacy #048)
• H-E-B, LP (HEB Pharmacy #692)
• Thong Minh Ha

• Surgery Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.

Verify at the official NPI Registry.