Individual provider Active NPI

Anthony C Gutierrez, MD

  • Internal Medicine Physician
  • Kansas City, MO
National Provider Identifier
1558368381
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R9D31 Issued in MO
Practice address
301 E Armour Blvd Ste 2East
Kansas City, MO 64111-1245
Phone
(816) 394-2082
Fax
(855) 446-7255
NPI assigned
Jul 7, 2005
Last updated
Dec 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R9D31 MO Primary

Addresses

Primary practice location

301 E Armour Blvd Ste 2East
Kansas City, MO 64111-1245

Mailing address

301 E Armour Blvd Ste 2East
Kansas City, MO 64111-1245
Phone (816) 394-2082

Other identifiers 1

IdentifierTypeStateIssuer
203796313MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anthony.gutierrez@centerwell.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R9D31MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lee's Summit Physicians Group - Internal Medicine LLC Internal Medicine Current Accepting new patients

Locations

1425 NW Blue Pkwy
Lees Summit, MO 64086
Phone (816) 524-3223

Interoperability endpoints

  • Direct secure messaging: anthony.gutierrez@centerwell.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1558368381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E ARMOUR BLVD STE 2EAST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641111245",
            "telephone_number": "816-394-2082",
            "fax_number": "855-446-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E ARMOUR BLVD STE 2EAST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641111245",
            "telephone_number": "816-394-2082",
            "fax_number": "855-446-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "ANTHONY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R9D31",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203796313",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anthony.gutierrez@centerwell.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "301 E Armour Blvd Ste 2East",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641111245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.