Individual provider Active NPI

Omar De Jesus Gutierrez, M.D.

  • Family Medicine Physician
  • Pensacola, FL
National Provider Identifier
1396998977
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
324278 Issued in LA
Practice address
6000 W Highway 98
Pensacola, FL 32512-0001
Phone
(850) 505-6709
NPI assigned
Oct 28, 2008
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 250840-1 NY
Family Medicine Physician 207Q00000X E-14401 AR
Family Medicine Physician 207Q00000X 324278 LA Primary
Surgery Physician 208600000X 250840 NY

Addresses

Primary practice location

6000 W Highway 98
Pensacola, FL 32512-0001

Mailing address

6000 W Highway 98
Pensacola, FL 32512-0001
Phone (850) 505-6709

Other identifiers 2

IdentifierTypeStateIssuer
251109001MedicaidAR
2540483MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, LA, AR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100303000096 NY Practitioner - General SurgeryPractitioner - Family PracticePractitioner - Peripheral Vascular Disease 0547305500 Reassigns benefits to 1 organization
I20200526000973 LA Practitioner - Emergency MedicinePractitioner - Family Practice 0547305500 Reassigns benefits to 5 organizations
I20240913001191 AR Practitioner - Family Practice 0547305500 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
JS Weill Medical College, Cornell University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Correct Care, Inc.Group PAC ID 8628980992, 96 clinicians

Practice addresses (Care Compare)

1635 Marvel St
Coushatta, LA 71019-9022
Phone (318) 932-2199

960 Hwy 71 N
Sevier Cnty Med Ctr
De Queen, AR 71832-9415
Phone (870) 642-6420

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-14401ARMDFamily Medicine Physician
250840-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Oct 11, 2022 Accepting new patients
Kingsbrook Medical Associates, PC CurrentSince Oct 9, 2011 Accepting new patients
Springhill Medical Services, Inc. Family Medicine Current Accepting new patients
Monticello Ess LLC CurrentSince Aug 1, 2025 Accepting new patients
Springhill Medical Services Inc CurrentSince Jul 1, 2020 Accepting new patients
Correct Care, Inc. CurrentSince Aug 14, 2024 Accepting new patients
Sevier County Medical Center Current Accepting new patients
Springhill Medical Services, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Christus Health Central Louisiana Family Medicine Current Accepting new patients
East Carroll Parish Hospital CurrentSince Feb 1, 2025 Accepting new patients
Christus Health Central Louisiana CurrentSince Apr 13, 2023 Accepting new patients
Christus Health Central Louisiana CurrentSince Apr 13, 2023 Accepting new patients
Nes Louisiana Inc CurrentSince Jan 1, 2021 Accepting new patients
Nes Louisiana Inc CurrentSince Jan 1, 2021 Accepting new patients
Pafford Physician Services Em PLLC CurrentSince Jul 1, 2025 Accepting new patients
Emergency Staffing Solutions Region III CurrentSince Feb 1, 2025 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Oct 11, 2022 Accepting new patients
Kingsbrook Medical Associates PC CurrentSince Oct 9, 2011 Accepting new patients
HCC of Magnolia LLC CurrentSince Feb 1, 2025 Accepting new patients
East Carroll Parish Hospital CurrentSince Feb 1, 2025 Accepting new patients
Springhill Medical Services, Inc. Past Accepting new patients

Locations

451 W Locke St
Ashdown, AR 71822
Phone (870) 265-5351

960 Highway 71 N
De Queen, AR 71832
Phone (870) 642-6420

2001 S Main St
Hope, AR 71801
Phone (870) 722-3800

101 Hospital Dr
Magnolia, AR 71753
Phone (870) 235-3000

778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411

1635 Marvel St
Coushatta, LA 71019
Phone (318) 932-2000

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

340 N Hood St
Lake Providence, LA 71254
Phone (318) 559-2404

336 N Hood St
Lk Providence, LA 71254
Phone (318) 559-4023

501 Keyser Ave
Natchitoches, LA 71457
Phone (318) 214-4200

106 Tri State Dr
Sarepta, LA 71071
Phone (318) 994-2266

2001 Doctors Dr
Springhill, LA 71075
Phone (318) 539-1000

401 11th St NE
Springhill, LA 71075
Phone (318) 539-1700

1110 Eastern Pkwy
Pier Toussaint
Brooklyn, NY 11213
Phone (718) 735-1900

585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 21

Hospital & facility affiliations 5

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": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1396998977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 W HIGHWAY 98",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325120001",
            "telephone_number": "850-505-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 W HIGHWAY 98",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325120001",
            "telephone_number": "850-505-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "OMAR",
        "middle_name": "DE JESUS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-28",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "250840-1",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-14401",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "324278",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "250840",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251109001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2540483",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.