Clarissa Gutierrez, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

P5075 Issued in TX

Practice address

12201 Renfert Way
Ste 225
Austin, TX 78758-5354

Phone

(512) 339-6626

Fax

(512) 425-3809

NPI assigned

Jul 21, 2009

Last updated

May 15, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Obstetrics/Gynecology

Education

University of Texas Medical School at San Antonio, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Davids Specialized Womens Services PLLCGroup PAC ID 1254478951, 26 clinicians

St. Davids OB and GYN Services, PLLCGroup PAC ID 5395241335, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: 1517-gutierrez-clarissa@direct.leadingreach.com
• Direct secure messaging: clarissa.gutierrez@hca8.eclinicaldirectplus.com
• FHIR API: https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4

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.

• St. David's Specialized Women's Services, PLLC

  • Maternal & Fetal Medicine Physician
  • Austin, TX
  • NPI 1821229568
  Medicare reassignment Care Compare group NPD
• St. Davids OB and GYN Services, PLLC

  • Obstetrics & Gynecology Physician
  • Georgetown, TX
  • NPI 1831084227
  Medicare reassignment Care Compare group NPD
• Methodist Physician Practices, PLLC

  • Surgery Physician
  • San Antonio, TX
  • NPI 1922252717
  NPD (past)
• St Davids Healthcare Partnership LP LLP

  dba North Austin Medical Center

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1629021845
  NPD (past)

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1326278631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 RENFERT WAY",
            "address_2": "STE 225",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585354",
            "telephone_number": "512-339-6626",
            "fax_number": "512-425-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 RENFERT WAY",
            "address_2": "STE 225",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585354",
            "telephone_number": "512-339-6626",
            "fax_number": "512-425-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "CLARISSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "P5075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321632701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adolfo Gutierrez
• Alejandra Gutierrez, MS, RD
• Amanda Haide Gutierrez, M.ED, LPC, LCDC
• Ariana M Gutierrez, RN
• Carrie Ann Gutierrez, PTA
• Constanza J. Gutierrez, MD
• Danica Alitzel Gutierrez, RN
• Diego A Gutierrez
• Dina Gutierrez, LMT
• Emily Gutierrez, DNP, CPNP, IFM-CP

• Obstetrics & Gynecology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.