Active NPI
Lorenzo Miguel Santos Gutierrez, MD
- Psychiatry Physician
- Silver Spring, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D0080708
- Practice address
- 12201 Plum Orchard Dr
Silver Spring, MD 20904 - Phone
- (301) 579-1000
- Fax
- (301) 579-1005
- NPI assigned
- Jan 2, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD043741 | DC | |
| Psychiatry Physician | 2084P0800X | 0101259626 | VA | |
| Psychiatry Physician | 2084P0800X | 269288 | NY | |
| Psychiatry Physician | 2084P0800X | D0080708 | MD | Primary |
Addresses
Primary practice location
12201 Plum Orchard Dr
Silver Spring, MD 20904
Mailing address
12201 Plum Orchard Dr
Silver Spring, MD 20904-7803
Phone (301) 579-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, DC, VA, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
150 Riverside Pkwy
Fredericksburg, VA 22406-1094
Phone (833) 351-8255
1775 I St NW
Suite 1150 Talkiatry
Washington, DC 20006-2435
Phone (833) 351-8255
66 E Main St
Westminster, MD 21157-5008
Phone (833) 351-8255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 269688 | NY | MD | Licensed Practical Nurse |
| D0080708 | MD | MD | Psychiatry Physician |
| 269288 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCCD Psychiatry Services PLLC | Psychiatry | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| MCCD FL Psychiatry Services PA | Psychiatry | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Psychiatry | Current | Accepting new patients |
| Downtown Bronx Medical Associates PC | Current | Accepting new patients |
Locations
1775 I St NW
Ste 1150
Washington, DC 20006
Phone (202) 313-7696
1500 K St NW
Fl 2
Washington, DC 20005
Phone (212) 287-4257
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
66 E Main St
Westminster, MD 21157
Phone (240) 602-3854
234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874
109 W 27th St
#55
New York, NY 10001
109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572
2800 Eisenhower Ave
Ste 220
Alexandria, VA 22314
Phone (540) 358-0423
150 Riverside Pkwy
Ste 115
Fredericksburg, VA 22406
Phone (540) 530-5545
Organizations & group practices 6
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.
-
- Health Maintenance Organization
- Annapolis, MD
- NPI 1952461816
DC, Psychiatry
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bronx, NY
- NPI 1689618407
-
- Health Maintenance Organization
- Gaithersburg, MD
- NPI 1831471713
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rockville, MD
- NPI 1962108753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532649600000",
"number": "1134423320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12201 PLUM ORCHARD DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209047803",
"telephone_number": "301-579-1000",
"fax_number": "301-579-1005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12201 PLUM ORCHARD DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "20904",
"telephone_number": "301-579-1000",
"fax_number": "301-579-1005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS GUTIERREZ",
"first_name": "LORENZO",
"middle_name": "MIGUEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-02",
"last_updated": "2018-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DC",
"license": "MD043741",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101259626",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "269288",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0080708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.