Individual provider Active NPI

Noel Gutierrez, M.D.

  • Cardiovascular Disease Physician
  • Yuma, AZ
National Provider Identifier
1366475394
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301073797 Issued in MI
Practice address
789 W 27TH St Ste 1
Yuma, AZ 85364-7207
Phone
(928) 344-8400
Fax
(928) 344-8412
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301073797 MI Primary

Addresses

Primary practice location

789 W 27TH St Ste 1
Yuma, AZ 85364-7207

Mailing address

789 W 27TH St Ste 1
Yuma, AZ 85364-7207
Phone (928) 344-8400

Other identifiers 1

IdentifierTypeStateIssuer
240178MedicaidAZ

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
I20071017000314 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Other (Physician) 7315940210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: 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

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301073797MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Heart and Vascular Care, LTD. Cardiovascular Disease CurrentSince Jan 1, 2009 Accepting new patients
Be Well Diabetes and Endocrine Center PastSince Jan 1, 2009 Accepting new patients
Adrienne Gutierrez, MD SC Past Accepting new patients
Mid-Michigan Cardiology Associates PLC Past Accepting new patients

Locations

789 W 27th St
Ste 1
Yuma, AZ 85364
Phone (928) 344-8400

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

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

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%)
Nov 10, 2010
Nov 10, 2010

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1366475394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 W 27TH ST STE 1",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647207",
            "telephone_number": "928-344-8400",
            "fax_number": "928-344-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 W 27TH ST STE 1",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647207",
            "telephone_number": "928-344-8400",
            "fax_number": "928-344-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "NOEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301073797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240178",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.