Individual provider Active NPI

Constanza J. Gutierrez, MD

  • Diagnostic Radiology Physician
  • Austin, TX
National Provider Identifier
1174630230
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD037649 Issued in DC
Practice address
3801 N Lamar Blvd
Austin, TX 78756-4080
Phone
(512) 407-7000
NPI assigned
Aug 24, 2006
Last updated
Mar 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME121936 FL
Diagnostic Radiology Physician 2085R0202X L3324 TX
Diagnostic Radiology Physician 2085R0202X MD037649 DC Primary

Addresses

Primary practice location

3801 N Lamar Blvd
Austin, TX 78756-4080

Mailing address

5655 Hudson Dr Ste 210
Aris Radiology
Hudson, OH 44236-4455
Phone (330) 655-1869

Other identifiers 3

IdentifierTypeStateIssuer
147741601MedicaidTX
147741602OtherTXCSHCN
P00722670OtherDCRAILROAD MEDICARE

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
I20031211000382 TX Practitioner - Diagnostic Radiology 0648176404 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at Houston, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Texas Radiology Group PAGroup PAC ID 2567365083, 84 clinicians

Practice addresses (Care Compare)

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-4343

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.09 of 100Reported as group
Quality
91.83
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD037649DCMDDiagnostic Radiology Physician
ME121936FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Radiology Imaging Centers Diagnostic Radiology CurrentSince Sep 28, 2018 Accepting new patients
South Texas Radiology Group PA Diagnostic Radiology CurrentSince Sep 24, 2018 Accepting new patients
Radcare of Texas PLLC Diagnostic Radiology Past Accepting new patients
Lone Star Radiology Services PLLC Diagnostic Radiology Past Accepting new patients
Provider Services of Texas LLC Diagnostic Radiology Past Accepting new patients
Georgia Telerad LLC Diagnostic Radiology Past Accepting new patients
Capital Imaging Association Diagnostic Radiology Past Accepting new patients
South Texas MRI LTD Diagnostic Radiology Past Accepting new patients
Diagnostic Health Centers of Texas, Limited Partnership PastSince Jun 1, 2004 Accepting new patients

Locations (25 of 46)

110 Menger Spgs
Boerne, TX 78006
Phone (830) 331-6006

128 W Bandera Rd
Ste 5
Boerne, TX 78006
Phone (830) 816-9500

134 Menger Spgs
Boerne, TX 78006
Phone (830) 331-3000

134 Menger Spgs
Ste 1110
Boerne, TX 78006
Phone (830) 816-9500

499 10th St
Floresville, TX 78114
Phone (830) 216-7096

1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555

457 Laurence Dr
Ste 444
Heath, TX 75032

12285 Bandera Rd
Helotes, TX 78023
Phone (210) 575-2285

1905 E State Highway 97
Jourdanton, TX 78026
Phone (210) 614-9603

13857 US Highway 87 W
Lavernia, TX 78121
Phone (830) 253-2101

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

12602 Toepperwein Rd
Ste 101
Live Oak, TX 78233
Phone (201) 564-1560

12709 Toepperwein Rd
Ste 106
Live Oak, TX 78233
Phone (210) 617-9700

1602 Avenue Q
Lubbock, TX 79401
Phone (469) 312-5137

11923 Culebra Rd
Ste 201
San Antonio, TX 78253
Phone (210) 617-9660

1200 Brooklyn Ave
Ste 100
San Antonio, TX 78212
Phone (210) 208-2500

1200 Brooklyn Ave
Ste 160
San Antonio, TX 78212

155 E Sonterra Blvd
Ste 100
San Antonio, TX 78258
Phone (210) 617-9500

18707 Hardy Oak Blvd
Ste 100
San Antonio, TX 78258
Phone (210) 617-6520

1888 Nacogdoches Rd
San Antonio, TX 78209
Phone (210) 617-9920

19010 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 575-0355

4243 E Southcross Blvd
Ste 102
San Antonio, TX 78222
Phone (210) 617-9970

4383 Medical Dr
#150
San Antonio, TX 78229
Phone (210) 617-9400

4410 Medical Dr
Ste 200
San Antonio, TX 78229
Phone (210) 575-6750

4458 Medical Dr
Ste 345
San Antonio, TX 78229
Phone (210) 617-9220

Organizations & group practices 9

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.

Hospital & facility affiliations 7

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1174630230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 HUDSON DR STE 210",
            "address_2": "ARIS RADIOLOGY",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364455",
            "telephone_number": "330-655-1869",
            "fax_number": "330-655-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 N LAMAR BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787564080",
            "telephone_number": "512-407-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "CONSTANZA",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME121936",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L3324",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "MD037649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147741601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "147741602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00722670",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.