Active NPI
Eddy Jose Gutierrez, MD
- Critical Care Medicine (Internal Medicine) Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- ME132154
- Practice address
- 1443 San Marco Blvd Ste 101
Jacksonville, FL 32207-8535 - Phone
- (904) 253-6910
- Fax
- (904) 253-6964
- NPI assigned
- Apr 18, 2012
- Last updated
- Aug 20, 2025
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 84110 | GA | |
| Internal Medicine Physician | 207R00000X | ME132154 | FL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 84110 | GA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | ME132154 | FL | Primary |
Addresses
Primary practice location
1443 San Marco Blvd Ste 101
Jacksonville, FL 32207-8535
Mailing address
1443 San Marco Blvd Ste 101
Jacksonville, FL 32207-8535
Phone (904) 253-6910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20495400 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | egutierrez321027@direct.novanthealth.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1325 San Marco Blvd
Jacksonville, FL 32207-8568
Phone (904) 253-6910
Hospital & facility affiliations
- Baptist Health Medical Center - Jacksonville
- Baptist Medical Center - Nassau
- Baptist Medical Center Beaches
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.86 of 100
- Quality
- 85.7
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.45
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME132154 | FL | MD | Critical Care Medicine (Internal Medicine) Physician |
| 84110 | GA | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Respiratory Critical Care and Sleep Medicine Associates,Inc | Current | Accepting new patients |
Locations
1325 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 253-6910
1325 San Marco Blvd
Ste 300
Jacksonville, FL 32207
Phone (904) 202-4243
1443 San Marco Blvd
Ste 101
Jacksonville, FL 32207
Phone (904) 253-6910
Interoperability endpoints
- eddygutierrez@rccsma.allscriptsdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pulmonary Disease Physician
- Jacksonville, FL
- NPI 1386622629
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Medical Center Nassau
- General Acute Care Hospital
- Fernandina Beach, FL
- NPI 1518024462
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
dba Baptist Medical Center
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1790042513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1443 SAN MARCO BLVD STE 101",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078535",
"telephone_number": "904-253-6910",
"fax_number": "904-253-6964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1443 SAN MARCO BLVD STE 101",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078535",
"telephone_number": "904-253-6910",
"fax_number": "904-253-6964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "EDDY",
"middle_name": "JOSE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-18",
"last_updated": "2025-08-20",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "84110",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME132154",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "GA",
"license": "84110",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "ME132154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20495400",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "egutierrez321027@direct.novanthealth.org",
"affiliation": "N",
"address_1": "4700 Waters Ave Ste 507",
"city": "Savannah",
"state": "GA",
"country_code": "US",
"postal_code": "31404",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.