Organization Active NPI

Marco Gutierrez MD and Associates

  • Family Medicine Physician
  • Alamo, TX
National Provider Identifier
1558306563
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J4177 Issued in TX
Legal business name
MARCO GUTIERREZ MD AND ASSOCIATES
Practice address
401 S Alamo Rd
Alamo, TX 78516
Phone
(956) 787-9111
Fax
(956) 683-9440
NPI assigned
Jun 17, 2006
Last updated
Apr 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Authorized official

Name
Marco Gutierrez, MDNPI 1669672572
Title
Owner
Phone
(956) 787-9111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J4177 TX Primary

Addresses

Primary practice location

401 S Alamo Rd
Alamo, TX 78516

Mailing address

5208 N 10TH St # 239
McAllen, TX 78504-2701
Phone (956) 787-9111

Other practice location 1

5148 N 10th St
McAllen, TX 78504-2834
Phone (956) 683-8700

Other identifiers 6

IdentifierTypeStateIssuer
45D1052653OtherTXCLIA # (MCALLEN CLINIC)
080187673OtherTXRAILROAD MEDICARE
0076JFOtherTXBCBS OF TEXAS
137950513MedicaidTX
292450801MedicaidTX
45D1003540OtherTXCLIA # (ALAMO CLINIC)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050112000331 TX Part B Supplier - Clinic/Group Practice 1254389604 Receives reassigned benefits from 5 practitioners
Practice locations: Alamo, TX; McAllen, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1003540Marco Gutierrez MD and Associates401 S Alamo, Alamo, TX 78516ComplianceNov 12, 2026
45D1052653Marco Gutierrez MD and Associates5148 N 10TH St, McAllen, TX 78504ComplianceJun 30, 2026

National Provider Directory

National Provider Directory

Locations

401 S Alamo Rd
Alamo, TX 78516
Phone (956) 782-9111

5148 N 10th St
McAllen, TX 78504
Phone (956) 683-8700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGFCCD

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1558306563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5208 N 10TH ST # 239",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042701",
            "telephone_number": "956-787-9111",
            "fax_number": "956-683-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S ALAMO RD",
            "city": "ALAMO",
            "state": "TX",
            "postal_code": "78516",
            "telephone_number": "956-787-9111",
            "fax_number": "956-683-9440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5148 N 10th St",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785042834",
            "country_code": "US",
            "telephone_number": "956-683-8700",
            "fax_number": "956-683-9440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARCO GUTIERREZ MD AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "MARCO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-787-9111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J4177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA # (MCALLEN CLINIC)",
            "identifier": "45D1052653",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080187673",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "0076JF",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137950513",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292450801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA # (ALAMO CLINIC)",
            "identifier": "45D1003540",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.