Individual provider Active NPI

Kathia Michel Gutierrez Gallegos

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1538829320
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15095 Issued in TX
Practice address
7015 Almeda Rd
Houston, TX 77054-2101
Phone
(713) 496-1077
Fax
(844) 682-5968
NPI assigned
Dec 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA15095 TX Primary

Addresses

Primary practice location

7015 Almeda Rd
Houston, TX 77054-2101

Mailing address

12240 Bella Terra Center Way Apt 2301
Richmond, TX 77406-1652
Phone (210) 414-7062

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220428002345 TX Practitioner - Physician Assistant 8921495599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Q-Health Partners PLLCGroup PAC ID 1153645155, 21 clinicians

Practice addresses (Care Compare)

7015 Almeda Rd
Houston, TX 77054-2101
Phone (713) 520-6875

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: kgutierrezgallegos468691@direct.stlukeshealth.org

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.

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": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1538829320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12240 BELLA TERRA CENTER WAY APT 2301",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774061652",
            "telephone_number": "210-414-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015 ALMEDA RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542101",
            "telephone_number": "713-496-1077",
            "fax_number": "844-682-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ GALLEGOS",
        "first_name": "KATHIA",
        "middle_name": "MICHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.