Daniel Gutierrez, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036039895 Issued in IL

Practice address

1301 Copperfield Ave
Suite 203
Joliet, IL 60432-2054

Phone

(815) 727-4292

Fax

(815) 727-5395

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Will County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Joliet, IL
  • NPI 1902811714
  Medicare reassignment NPD
• County of Will

  • Health Service Clinic/Center
  • Joliet, IL
  • NPI 1932114758
  NPD
• Will County Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Monee, IL
  • NPI 1053870204
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1801907548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13922 W CARRIAGE LN",
            "city": "MANHATTAN",
            "state": "IL",
            "postal_code": "604429564",
            "telephone_number": "815-740-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 COPPERFIELD AVE",
            "address_2": "SUITE 203",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604322054",
            "telephone_number": "815-727-4292",
            "fax_number": "815-727-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036039895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036039895",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Gunnink, MBA, LPMT, MT-BC
• Atul N Gupta, MD
• Samir K Gupta, M.D.
• Aaron Gurfinchel, MD
• Ellen J Gustafson, MD
• Jessica Kandis Gutierrez, FNP-BC
• Susan Gwodz, FNP
• Amy L Haake, PT
• Jennifer L. Haas, APN
• Jamie Lynn Haberkorn

• Internal Medicine Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.