Individual provider Active NPI

Abram Nicolas Gutierrez

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1760114540
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18756 Issued in TX
Practice address
8201 Ewing Halsell Dr
San Antonio, TX 78229-3707
Phone
(210) 575-8485
Fax
(210) 575-8499
NPI assigned
Jun 29, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA18756 TX Primary

Addresses

Primary practice location

8201 Ewing Halsell Dr
San Antonio, TX 78229-3707

Mailing address

8201 Ewing Halsell Dr
San Antonio, TX 78229-3707
Phone (210) 575-8485

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250314003555 TX Practitioner - Physician Assistant 3173045440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Physician Practices PLLCGroup PAC ID 8022171974, 176 clinicians

Practice addresses (Care Compare)

6800 I 10
Suite 100
San Antonio, TX 78201-2039
Phone (210) 575-8289

6800 W Ih
10 Suite 130
San Antonio, TX 78201-2039
Phone (210) 932-1487

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-7268

8026 Floyd Curl Dr
San Antonio, TX 78229-3915
Phone (210) 575-8110

Hospital & facility affiliations

  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1760114540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 EWING HALSELL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293707",
            "telephone_number": "210-575-8485",
            "fax_number": "210-575-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 EWING HALSELL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293707",
            "telephone_number": "210-575-8485",
            "fax_number": "210-575-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "ABRAM",
        "middle_name": "NICOLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-29",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.