Active NPI
Michael L Gutierrez, MD
- Family Medicine Physician
- Austin, TX
National Provider Identifier
1770664427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H8097
- Practice address
- 1009 E 40TH St
Ste 300B
Austin, TX 78751-4812 - Phone
- (512) 482-8280
- Fax
- (512) 482-9457
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H8097 | TX | Primary |
Addresses
Primary practice location
1009 E 40TH St
Ste 300B
Austin, TX 78751-4812
Mailing address
1009 E 40TH St
Ste 300B
Austin, TX 78751-4812
Phone (512) 482-8280
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080089324 | Other | RAILROAD MEDICARE | |
| 124012905 | Medicaid | TX | |
| 00U83W | Other | BLUE CROSS BLUE SHIELD | |
| 124012903 | Medicaid | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071022000136 | TX | Practitioner - Family Practice | 0446346712 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Medical Branch at Galveston, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1009 E 40TH St
Suite 300B
Austin, TX 78751-4812
Phone (512) 482-8280
Hospital & facility affiliations
- Progressive Home Health Agency
- Bristol Hospice - Texas, LLC
- Park Place Care Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H8097 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael L Gutierrez MD PA | Current | Accepting new patients | |
| Wells Branch Internal Medicine, P.a. | Current | Accepting new patients |
Locations
1009 E 40th St
Ste 300B
Austin, TX 78751
Phone (512) 482-8045
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Austin, TX
- NPI 1316131758
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- The Woodlands, TX
- NPI 1649563552
Hospice
-
- Home Health Agency
- Buda, TX
- NPI 1053525006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1770664427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 E 40TH ST",
"address_2": "STE 300B",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787514812",
"telephone_number": "512-482-8280",
"fax_number": "512-482-9457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 E 40TH ST",
"address_2": "STE 300B",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787514812",
"telephone_number": "512-482-8280",
"fax_number": "512-482-9457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "MICHAEL",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "H8097",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080089324",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124012905",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00U83W",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124012903",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.