Individual provider Active NPI

Norman S. Gutmann, MD

  • Internal Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1578622338
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-065603 Issued in IL
Practice address
6893 Isla Vista Dr.
West Palm Beach, FL 33412
Phone
(847) 987-6727
Fax
(833) 606-0511
NPI assigned
Dec 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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 036-065603 IL Primary

Addresses

Primary practice location

6893 Isla Vista Dr.
West Palm Beach, FL 33412

Mailing address

6893 Isla Vista Dr.
West Palm Beach, FL 33412
Phone (847) 987-6727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050907000289 IL Practitioner - Internal Medicine 5092747485 Reassigns benefits to 1 organization
I20210422002536 FL Practitioner - Internal Medicine 5092747485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Toledo College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6893 Isla Vista Dr
West Palm Beach, FL 33412-3065
Phone (847) 987-6727

Hospital & facility affiliations

  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-065603ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Sep 1, 1999 Accepting new patients
NG Health Services Chartered Internal Medicine CurrentSince Mar 1, 2021 Accepting new patients
Endeavor Health Medical Group Internal Medicine CurrentSince Sep 1, 1999 Accepting new patients
Endeavor Health Clinical Operations Past Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

9977 Woods Dr
Fl 1
Skokie, IL 60077
Phone (847) 663-8350

9977 Woods Dr
#160
Skokie, IL 60077

Interoperability endpoints

  • Direct secure messaging: norman.gutmann.1@23064.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23064/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1578622338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6893 ISLA VISTA DR.",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33412",
            "telephone_number": "847-987-6727",
            "fax_number": "833-606-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6893 ISLA VISTA DR.",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33412",
            "telephone_number": "847-987-6727",
            "fax_number": "833-606-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTMANN",
        "first_name": "NORMAN",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-065603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.