Active NPI
Maureen Shevlin Gutierrez, M.D.
- Internal Medicine Physician
- Dallas, TX
National Provider Identifier
1770787210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- N0070
- Practice address
- 8220 Walnut Hill LN
Suite 314
Dallas, TX 75231-4427 - Phone
- (214) 865-7001
- Fax
- (214) 865-7007
- NPI assigned
- Jun 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD036554 | DC | |
| Internal Medicine Physician | 207R00000X | 0101240182 | VA | |
| Internal Medicine Physician | 207R00000X | N0070 | TX | Primary |
Addresses
Primary practice location
8220 Walnut Hill LN
Suite 314
Dallas, TX 75231-4427
Mailing address
8220 Walnut Hill LN
Suite #314
Dallas, TX 75231-4427
Phone (214) 865-7001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 17, 2014 through Feb 17, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD036554 | DC | MD | Internal Medicine Physician |
| N0070 | TX | MD | Internal Medicine Physician |
| 0101240182 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas Comprehensive Medical Care, PLLC | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- maureen.gutierrez.1@31124.direct.athenahealth.com
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.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1326302233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344038400000",
"number": "1770787210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8220 WALNUT HILL LN",
"address_2": "SUITE #314",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314427",
"telephone_number": "214-865-7001",
"fax_number": "214-865-7007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8220 WALNUT HILL LN",
"address_2": "SUITE 314",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314427",
"telephone_number": "214-865-7001",
"fax_number": "214-865-7007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "MAUREEN",
"middle_name": "SHEVLIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-11",
"last_updated": "2012-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DC",
"license": "MD036554",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101240182",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "N0070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2012; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.