Individual provider Active NPI

David M Gutstein, M.D.

  • Gastroenterology Physician
  • Fort Myers, FL
National Provider Identifier
1740279140
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME65573 Issued in FL
Practice address
15621 New Hampshire CT
Fort Myers, FL 33908-4123
Phone
(239) 466-8838
Fax
(239) 466-7669
NPI assigned
Oct 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME65573 FL Primary

Addresses

Primary practice location

15621 New Hampshire CT
Fort Myers, FL 33908-4123

Mailing address

15621 New Hampshire CT
Fort Myers, FL 33908-4123
Phone (239) 466-8838

Other identifiers 1

IdentifierTypeStateIssuer
P00281527OtherFLRAILROAD MEDICARE PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050829000159 FL Practitioner - Gastroenterology 3678504701 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
New York University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gi Providers LLCGroup PAC ID 5193170546, 5 clinicians

Practice addresses (Care Compare)

Naples, FL 34113
Phone 2397321133110

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gi Providers LLC Gastroenterology CurrentSince Sep 1, 2023 Accepting new patients
Gulf Advantage Anesthesia LLC CurrentSince Jun 1, 2020 Accepting new patients
Millennium Physician Group LLC CurrentSince Sep 8, 2017 Accepting new patients
Millennium Physician Group LLC CurrentSince Sep 8, 2017 Accepting new patients
Gi Specialists PA Gastroenterology Past Accepting new patients

Locations

126 Del Prado Blvd N
Ste 105
Cape Coral, FL 33909
Phone (239) 349-9308

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

13691 Metro Pkwy
Ste 110A
Fort Myers, FL 33912
Phone (239) 310-5303

5077 Tamiami Trl E
Naples, FL 34113
Phone (239) 732-1133

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467936000000",
    "number": "1740279140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15621 NEW HAMPSHIRE CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084123",
            "telephone_number": "239-466-8838",
            "fax_number": "239-466-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15621 NEW HAMPSHIRE CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084123",
            "telephone_number": "239-466-8838",
            "fax_number": "239-466-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTSTEIN",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2016-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME65573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDER NUMBER",
            "identifier": "P00281527",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.