Genaro Jesus Gutierrez, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

Q0924 Issued in TX

Practice address

4316 James Casey St
BLDG B, Suite 200
Austin, TX 78745-1116

Phone

(855) 876-7246

Fax

(855) 277-5070

NPI assigned

Jun 10, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Pain ManagementAlso: Anesthesiology

Education

Texas Tech University Health Science Center School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Texas Pain Center, PLLCGroup PAC ID 0547233207, 28 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: genaro.gutierrez@psoa.eclinicaldirectplus.com

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.

• Central Texas Pain Center, PLLC

  • Interventional Pain Medicine Physician
  • New Braunfels, TX
  • NPI 1891792776
  Medicare reassignment Care Compare group NPD
• Central Texas Pain Center, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Seguin, TX
  • NPI 1992683114
  NPD
• Central Texas Pain Center South PLLC

  • Interventional Pain Medicine Physician
  • San Antonio, TX
  • NPI 1821341355
  NPD (past)
• Daniel a. Frederick, M.D., P.a.

  • Pain Medicine (Anesthesiology) Physician
  • San Marcos, TX
  • NPI 1841578796
  NPD (past)
• Psa Ambulatory Surgical Center of Austin LLC

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
  • NPI 1659594190
  NPD (past)
• Psa Ambulatory Surgical Center of South Austin, LLC

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
  • NPI 1770223901
  NPD (past)

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1396971826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208354",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753208354",
            "telephone_number": "855-876-7246",
            "fax_number": "855-277-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 JAMES CASEY ST",
            "address_2": "BLDG B, SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451116",
            "telephone_number": "855-876-7246",
            "fax_number": "855-277-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "GENARO",
        "middle_name": "JESUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-10",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "Q0924",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "Q0924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "368449YYRM",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "Q0924",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "368449YS47",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Constanza J. Gutierrez, MD
• Danica Alitzel Gutierrez, RN
• Diego A Gutierrez
• Dina Gutierrez, LMT
• Emily Gutierrez, DNP, CPNP, IFM-CP
• Jaclyn Rene Gutierrez
• Jene Gutierrez, LMFT ASSOCIATE
• Jennifer Marie Gutierrez, MA
• Joan Azael Gutierrez
• Joann Gutierrez, PTA

• Interventional Pain Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.