Individual provider Active NPI

Jesus E Gutierrez Stone, M.D.

  • General Practice Physician
  • Orlando, FL
National Provider Identifier
1396990461
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN447 Issued in FL
Practice address
601 S Semoran Blvd Ste a
Orlando, FL 32807-3120
Phone
(407) 203-6898
Fax
(407) 203-6899
NPI assigned
Nov 17, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17349 PR
General Practice Physician 208D00000X ACN447 FL Primary

Addresses

Primary practice location

601 S Semoran Blvd Ste a
Orlando, FL 32807-3120

Mailing address

601 S Semoran Blvd Ste a
Orlando, FL 32807-3120
Phone (407) 203-6898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20130828000959 FL Practitioner - Internal MedicinePractitioner - General Practice 9436301462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

601 S Semoran Blvd
Suite a
Orlando, FL 32807-3120
Phone (407) 203-6898

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN447FLMDGeneral Practice Physician
17349PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gutierrez Medical Center, LLC CurrentSince Apr 24, 2013 Accepting new patients

Locations

5804 Lake Underhill Rd
Ste A
Orlando, FL 32807
Phone (407) 203-6898

601 S Semoran Blvd
Ste A
Orlando, FL 32807
Phone (407) 203-6898

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1396990461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S SEMORAN BLVD STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073120",
            "telephone_number": "407-203-6898",
            "fax_number": "407-203-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S SEMORAN BLVD STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073120",
            "telephone_number": "407-203-6898",
            "fax_number": "407-203-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ STONE",
        "first_name": "JESUS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-17",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17349",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.