Larina V. Gutenberg, DO

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

N3706 Issued in TX

Practice address

5522 Lone Star Pkwy, BLDG 2
Ste 101
San Antonio, TX 78253

Phone

(210) 298-4900

Fax

(210) 298-6631

NPI assigned

Feb 28, 2008

Last updated

Apr 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Interventional Pain Management

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Larina V Gutenberg DO PLLCGroup PAC ID 5092976605, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

22.17 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

73.91

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Larina V Gutenberg DO PLLC

  dba Sa Pain Clinic

  • Pain Medicine (Anesthesiology) Physician
  • San Antonio, TX
  • NPI 1710253646
  Medicare reassignment Care Compare group NPD
• Medsurge Alliance, PA

  • Anesthesiology Physician
  • San Antonio, TX
  • NPI 1346481611
  NPD (past)

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1194994681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5522 LONE STAR PKWY, BLDG 2",
            "address_2": "STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78253",
            "telephone_number": "210-298-4900",
            "fax_number": "210-298-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5522 LONE STAR PKWY, BLDG 2",
            "address_2": "STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78253",
            "telephone_number": "210-298-4900",
            "fax_number": "210-298-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTENBERG",
        "first_name": "LARINA",
        "middle_name": "V.",
        "name_prefix": "Mrs.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-28",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "58. 001534",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "N3706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211146001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Francisca Cecilia Gushiken, MD
• Celeste Gusme, M.A., LPC
• Carrie Gustafson, RDN, LD
• Gustavo J Medellin MD PA (Medical Center Hospitalists)
• Qian Gustilo
• Claudia Liliana Gutierrez Cornejo, MD
• Andrea Gutierrez de Velasco, FNP
• Estefania Gutierrez Garcia, DENTAL STUDENT
• Maria Natali Gutierrez Lopez
• Gutierrez Pediatric Dentistry, PC (Your Child's Dentist)

• Pain Medicine (Anesthesiology) Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pain Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.