Individual provider Active NPI

Daniel L Gutmann, M.D.

  • Emergency Medicine Physician
  • Denver, CO
National Provider Identifier
1851377584
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
39251 Issued in CO
Practice address
2920 S Adams St
Denver, CO 80210-6506
Phone
(303) 522-5145
Fax
(720) 570-2911
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 39251 CO Primary

Addresses

Primary practice location

2920 S Adams St
Denver, CO 80210-6506

Mailing address

2920 S Adams St
Denver, CO 80210-6506
Phone (303) 522-5145

Other identifiers 1

IdentifierTypeStateIssuer
74956531MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20100513000596 CO Practitioner - Emergency Medicine 6406984368 Reassigns benefits to 1 organization
I20200917002352 WI Practitioner - Emergency Medicine 6406984368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
West Virginia University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Divine Savior Healthcare IncGroup PAC ID 5799684007, 135 clinicians

Practice addresses (Care Compare)

2817 New Pinery Rd
Portage, WI 53901-9240
Phone (608) 742-4131

Hospital & facility affiliations

  • Aspirus Divine Savior Hospital Hospital, Portage, WI, CCN 520041

Merit-based Incentive Payment System (MIPS)

Final score
91.7 of 100Reported as group
Quality
91.14
Promoting interoperability
100
Improvement activities
40
Cost
77.5

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39251COMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Savior Healthcare, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Morgan Emergency Group, LLC Emergency Medicine CurrentSince Apr 1, 2012 Accepting new patients
Divine Savior Healthcare, Inc. Emergency Medicine CurrentSince Sep 1, 2020 Accepting new patients
Carepoint P.C. Emergency Medicine Past Accepting new patients

Locations

1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320

29980 Network Pl
Chicago, IL 60673

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1851377584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 S ADAMS ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802106506",
            "telephone_number": "303-522-5145",
            "fax_number": "720-570-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 S ADAMS ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802106506",
            "telephone_number": "303-522-5145",
            "fax_number": "720-570-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTMANN",
        "first_name": "DANIEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "39251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74956531",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.