Individual provider Active NPI

Ana Victoria Gutierrez Alvarez, M.D.

  • Pediatrics Physician
  • Tyler, TX
National Provider Identifier
1568873909
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
S8184 Issued in TX
Practice address
8934 S Broadway Ave Ste 448
Tyler, TX 75703-5475
Phone
(903) 606-5100
Fax
(903) 606-5105
NPI assigned
May 19, 2014
Last updated
Aug 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X S8184 TX Primary
Pediatrics Physician 208000000X 12801 ZZ

Addresses

Primary practice location

8934 S Broadway Ave Ste 448
Tyler, TX 75703-5475

Mailing address

462 1St Ave
New York, NY 10016-9196
Phone (212) 562-6904

Other practice location 1

1120 E Front St
Tyler, TX 75702-8414
Phone (903) 606-3630

Other practice location 2

706 Turle Creek
Tyler, TX 75701-1833
Phone (903) 595-3942

Other practice location 3

4422 3rd Ave
Bronx, NY 10457-2545
Phone (718) 960-9000

Other identifiers 1

IdentifierTypeStateIssuer
P02587280OtherTXMEDICARE RAILROAD

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200922001230 TX Practitioner - Pediatric MedicinePractitioner - Endocrinology 2567792310 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
291025NYMDLicensed Practical Nurse
12801ZZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas Pediatrics CurrentSince Nov 1, 2020 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Nov 1, 2020 Accepting new patients
Magella Medical Associates Billing, Inc. Past Accepting new patients
Mother Frances Hospital Regional Health Care Center Past Accepting new patients
Trinity Clinic Past Accepting new patients

Locations

3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000

1120 E Front St
Tyler, TX 75702
Phone (903) 606-3630

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

706 Turtle Creek Dr
Tyler, TX 75701
Phone (903) 593-1786

8934 S Broadway Ave
Ste 448
Tyler, TX 75703
Phone (903) 606-5100

Interoperability endpoints

  • Direct secure messaging: agutierrezalvarez235213@christushealth.direct-ci.net

Organizations & group practices 5

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": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1568873909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100169196",
            "telephone_number": "212-562-6904",
            "fax_number": "212-562-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8934 S BROADWAY AVE STE 448",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757035475",
            "telephone_number": "903-606-5100",
            "fax_number": "903-606-5105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 E Front St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757028414",
            "country_code": "US",
            "telephone_number": "903-606-3630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "706 Turle Creek",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757011833",
            "country_code": "US",
            "telephone_number": "903-595-3942",
            "fax_number": "903-593-2594",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4422 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104572545",
            "country_code": "US",
            "telephone_number": "718-960-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ ALVAREZ",
        "first_name": "ANA",
        "middle_name": "VICTORIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "S8184",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ZZ",
            "license": "12801",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P02587280",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.