Individual provider Active NPI

Adrienne E Gutierrez, MD

  • Internal Medicine Physician
  • Yuma, AZ
National Provider Identifier
1346286457
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36943 Issued in AZ
Practice address
2244 S Ave a
Ste E
Yuma, AZ 85364-2924
Phone
(810) 230-0430
Fax
(810) 230-6733
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036105786 IL
Internal Medicine Physician 207R00000X 36943 AZ Primary

Addresses

Primary practice location

2244 S Ave a
Ste E
Yuma, AZ 85364-2924

Mailing address

PO Box 5641
Yuma, AZ 85366-5641
Phone (928) 783-5857

Other identifiers 2

IdentifierTypeStateIssuer
L95311OtherMEDICARE PIN
320726MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20080304000843 AZ Practitioner - Internal Medicine 8426058504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Heart and Vascular Care, LTDGroup PAC ID 1052478930, 2 clinicians

Practice addresses (Care Compare)

2692 S Ave B
Suite 1
Yuma, AZ 85364-6901
Phone (928) 783-5857

Hospital & facility affiliations

  • Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36943AZMDInternal Medicine Physician
036105786ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Heart and Vascular Care, LTD. CurrentSince Mar 1, 2009 Accepting new patients
Be Well Diabetes and Endocrine Center PastSince Mar 1, 2009 Accepting new patients
Adrienne Gutierrez, MD SC Internal Medicine Past Accepting new patients
Internal Medicine Associates of Flint P.C. Past Accepting new patients

Locations

2692 S Avenue B
Ste 1
Yuma, AZ 85364
Phone (928) 783-5857

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

2244 S Avenue A
Ste E
Yuma, AZ 85364
Phone (928) 782-5588

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Caring Touch Home Care LLCYuma, AZ, CCN 037298 Home health agency 5% Or Greater Direct Ownership Interest (50%)
Corporate Officer (50%)
Sep 1, 2024
Sep 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1346286457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5641",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853665641",
            "telephone_number": "928-783-5857",
            "fax_number": "928-783-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 S AVE A",
            "address_2": "STE E",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853642924",
            "telephone_number": "810-230-0430",
            "fax_number": "810-230-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "ADRIENNE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036105786",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "36943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "L95311",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320726",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.