Active NPI
Ivette Guttmann, M.D.
- Sports Medicine (Family Medicine) Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- ME115053
- Practice address
- 1400 NW 12TH Ave
Miami, FL 33136-1003 - Phone
- (352) 978-3565
- NPI assigned
- Jun 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 266602 | NY | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 266602 | NY | |
| Pediatrics Physician | 208000000X | ME115053 | FL | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | ME115053 | FL | Primary |
Addresses
Primary practice location
1400 NW 12TH Ave
Miami, FL 33136-1003
Mailing address
1400 NW 12TH Ave
Miami, FL 33136-1003
Phone (352) 978-3565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, VT, MA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121219000072 | NY | Practitioner - Sports Medicine | 0143472217 | |
| I20181212001097 | VT | Practitioner - Sports Medicine | 0143472217 | Reassigns benefits to 2 organizations |
| I20190926000286 | MA | Practitioner - Sports Medicine | 0143472217 | Reassigns benefits to 1 organization |
| I20250224001689 | TX | Practitioner - Sports Medicine | 0143472217 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Etmc Physician Group, Inc.
Practice addresses (Care Compare)
2210 Three Lakes Pkwy
Suite 100
Tyler, TX 75703-0642
Phone (903) 747-4050
Hospital & facility affiliations
- Ut Health East Texas Tyler Regional Hospital
- Ut Health East Texas Rehabilitation Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 266602 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwestern Vermont Medical Center, Inc | Current | Accepting new patients | |
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| Northern Berkshire Medical, PC | Current | Accepting new patients | |
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| Southwestern Vermont Medical Center, Inc | Current | Accepting new patients | |
| Southwestern Vermont Medical Center Inc. | Pediatrics | Current | Accepting new patients |
| Southwestern Vermont Medical Center Inc. | Current | Accepting new patients | |
| Radiology Associates of North Texas PA | Past | Accepting new patients |
Locations
375 Main St
Williamstown, MA 01267
Phone (413) 398-1000
16 Danforth St
Hoosick Falls, NY 12090
Phone (518) 686-5002
18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292
2210 Three Lakes Pkwy
Ste 100
Tyler, TX 75703
Phone (903) 747-4050
332 Dewey St
Bennington, VT 05201
Phone (802) 442-2034
100 Hospital Dr
Bennington, VT 05201
Phone (802) 447-4509
100 Hospital Dr
#44
Bennington, VT 05201
Phone (802) 442-4509
140 Hospital Dr
Ste 116
Bennington, VT 05201
Phone (802) 447-1836
5957 Main St
Manchestr Ctr, VT 05255
Phone (802) 362-4440
Interoperability endpoints
- iguttmann1339715@ahs.direct-ci.com
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Bennington, VT
- NPI 1184994162
Pediatrics, VT
-
- Orthopaedic Surgery Physician
- Bennington, VT
- NPI 1487930632
VT
-
- Rural Health Clinic/Center
- Chandler, TX
- NPI 1235706581
-
- Rural Health Clinic/Center
- Gun Barrel City, TX
- NPI 1689241945
-
- General Acute Care Hospital
- Bennington, VT
- NPI 1205865789
-
- General Practice Physician
- Bennington, VT
- NPI 1740682921
-
- Diagnostic Radiology Physician
- Fort Worth, TX
- NPI 1710970975
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Tyler, TX
- NPI 1174021695
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413763200000",
"number": "1346534906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 NW 12TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361003",
"telephone_number": "352-978-3565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 NW 12TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361003",
"telephone_number": "352-978-3565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTTMANN",
"first_name": "IVETTE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-01",
"last_updated": "2014-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "266602",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "NY",
"license": "266602",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME115053",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "FL",
"license": "ME115053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.