Individual provider Active NPI

Helen Rosario Jaramillo Gutierrez de Elliott, M.D.

  • Obstetrics & Gynecology Physician
  • Annandale, VA
National Provider Identifier
1790105476
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101276143 Issued in VA
Practice address
4208 Evergreen LN
Annandale, VA 22003-3235
Phone
(703) 642-7522
Fax
(703) 642-7565
NPI assigned
Apr 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101276143 VA Primary
Obstetrics & Gynecology Physician 207V00000X ME139108 FL
Obstetrics & Gynecology Physician 207V00000X 80541 AZ

Addresses

Primary practice location

4208 Evergreen LN
Annandale, VA 22003-3235

Mailing address

4208 Evergreen LN Ste 213
Annandale, VA 22003-3254
Phone (703) 642-7522

Other practice location 1

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 213-6235

Other identifiers 2

IdentifierTypeStateIssuer
103688700MedicaidFL
LO827OtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, DC, MA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190910002516 FL Practitioner - Obstetrics/Gynecology 9739487919 Reassigns benefits to 1 organization
I20221129002130 DC Practitioner - Obstetrics/Gynecology 9739487919 Reassigns benefits to 1 organization
I20240819003616 MA Practitioner - Obstetrics/Gynecology 9739487919 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME139108FLMDObstetrics & Gynecology Physician
0101276143VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Massachusetts - Direct, P.C. CurrentSince Jun 1, 2025 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Apr 7, 2025 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Apr 7, 2025 Accepting new patients
Mercy Inpatient Medical Associates Inc. Obstetrics & Gynecology CurrentSince Aug 26, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 15, 2022 Accepting new patients
Privia Medical Group, LLC Obstetrics & Gynecology CurrentSince Nov 15, 2022 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
Annandale OB GYN PastSince Dec 13, 2022 Accepting new patients
The Mercy Hospital Inc Past Accepting new patients

Locations

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

3202 N Park Rd
Plant City, FL 33563
Phone (813) 727-1200

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

233 Carew St
#101
Springfield, MA 01104
Phone (413) 748-9212

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

4208 Evergreen Ln
Ste 213
Annandale, VA 22003

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: hjaramillogutierrezdeelliot3762166@direct.trinity-health.org

Organizations & group practices 9

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": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1790105476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 EVERGREEN LN STE 213",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033254",
            "telephone_number": "703-642-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 EVERGREEN LN",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033235",
            "telephone_number": "703-642-7522",
            "fax_number": "703-642-7565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N Beaver St",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860013118",
            "country_code": "US",
            "telephone_number": "928-213-6235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARAMILLO GUTIERREZ DE ELLIOTT",
        "first_name": "HELEN",
        "middle_name": "ROSARIO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101276143",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME139108",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "80541",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103688700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "LO827",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

Verify at the official NPI Registry.