Individual provider Active NPI

Elma Rosario Gutierrez, MD

  • Obstetrics & Gynecology Physician
  • Las Cruces, NM
National Provider Identifier
1912191677
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD2008-0075 Issued in NM
Practice address
4351 E. Lohman Ave.
Suite 401
Las Cruces, NM 88011
Phone
(575) 522-4767
Fax
(575) 522-3607
NPI assigned
Sep 5, 2007
Last updated
Sep 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD2008-0075 NM Primary

Addresses

Primary practice location

4351 E. Lohman Ave.
Suite 401
Las Cruces, NM 88011

Mailing address

4351 E. Lohman Ave.
Suite 401
Las Cruces, NM 88011
Phone (575) 522-4767

Other identifiers 1

IdentifierTypeStateIssuer
31284850MedicaidNM

Other names 1

  • Elma Rosario Perez Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elma.gutierrez.1@1928.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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

Enrollment IDStateProvider typePAC IDDetails
I20090113000640 NM Practitioner - Obstetrics/Gynecology 1951464262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of New Mexico School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Las Cruces Physician Services LLCGroup PAC ID 8224122759, 104 clinicians

Practice addresses (Care Compare)

1135 S Main St
Suite B
Las Cruces, NM 88005-2946
Phone (505) 525-4000

4301 E Lohman Ave
Las Cruces, NM 88011-8255

4311 E Lohman Ave
Las Cruces, NM 88011-8255

4351 E Lohman Ave
Las Cruces, NM 88011-8261

4371 E Lohman Ave
Las Cruces, NM 88011-8255
Phone (575) 522-7798

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2008-0075NMMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Las Cruces Physician Services LLC CurrentSince Aug 1, 2008 Accepting new patients
Las Cruces Medical Center LLC Past Accepting new patients
Familycare Associates,PA Past Accepting new patients

Locations

1135 S Main St
Ste B
Las Cruces, NM 88005
Phone (505) 522-5205

4351 E Lohman Ave
Ste 401
Las Cruces, NM 88011
Phone (505) 522-4767

Interoperability endpoints

  • Direct secure messaging: elma.gutierrez.1@1928.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1912191677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 E. LOHMAN AVE.",
            "address_2": "SUITE 401",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88011",
            "telephone_number": "575-522-4767",
            "fax_number": "575-522-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 E. LOHMAN AVE.",
            "address_2": "SUITE 401",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88011",
            "telephone_number": "575-522-4767",
            "fax_number": "575-522-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "ELMA",
        "middle_name": "ROSARIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NM",
            "license": "MD2008-0075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31284850",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elma.gutierrez.1@1928.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "4351 E. Lohman Ave.",
            "address_2": "Suite 401",
            "city": "Las Cruces",
            "state": "NM",
            "country_code": "US",
            "postal_code": "88011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELMA",
            "last_name": "PEREZ",
            "middle_name": "ROSARIO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.