Individual provider Active NPI

Marco Gutierrez, MD

  • Family Medicine Physician
  • Alamo, TX
National Provider Identifier
1669672572
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
Practice address
401 S Alamo Rd
Alamo, TX 78516-2501
Phone
(956) 787-9111
Fax
(956) 683-9440
NPI assigned
Jul 19, 2007
Last updated
Apr 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 1

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

Addresses

Primary practice location

401 S Alamo Rd
Alamo, TX 78516-2501

Mailing address

5208 N 10TH St # 239
McAllen, TX 78504-2701
Phone (956) 683-8700

Other practice location 1

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

Other identifiers 5

IdentifierTypeStateIssuer
137950513MedicaidTX
45D1052653OtherTXCLIA # (MCALLEN CLINIC)
292450801MedicaidTX
45D1003540OtherTXCLIA # (ALAMO CLINIC)
8G6960OtherTXBCBS OF TX

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
I20100526000300 TX Practitioner - Family Practice 1951359314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marco Gutierrez MD and AssociatesGroup PAC ID 1254389604, 5 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.83 of 100Reported as group
Quality
100
Improvement activities
40
Cost
93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J4177TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marco Gutierrez MD and Associates Family Medicine CurrentSince Oct 5, 2001 Accepting new patients
Rene Vela M.D.,P.a PastSince Oct 5, 2001 Accepting new patients

Locations

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

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

5208 N 10th St
McAllen, TX 78504
Phone (956) 477-0701

Interoperability endpoints

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

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1669672572",
    "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": "956-683-8700",
            "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": "785162501",
            "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": {
        "last_name": "GUTIERREZ",
        "first_name": "MARCO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J4177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137950513",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA # (MCALLEN CLINIC)",
            "identifier": "45D1052653",
            "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"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "8G6960",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamo, TX

Sources for this page

Verify at the official NPI Registry.