Active NPI
Miguel Angel Gutierrez, M.D.
- Neurology Physician
- McAllen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- K8190
- Practice address
- 2108 South M St
Ste 4
McAllen, TX 78503 - Phone
- (956) 686-8100
- Fax
- (956) 686-8999
- NPI assigned
- Jun 30, 2005
- Reactivated
- Apr 3, 2006
- Last updated
- Jan 19, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | K8190 | TX | Primary |
Addresses
Primary practice location
2108 South M St
Ste 4
McAllen, TX 78503
Mailing address
PO Box 749
Pharr, TX 78577-1614
Phone (956) 362-2171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 090009403 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Neurology
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2108 S M St
Suite 4
McAllen, TX 78503-1556
Phone (956) 362-8538
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.1 of 100
- Quality
- 86
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K8190 | TX | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renaissance Medical Foundation | Current | Accepting new patients |
Locations
5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300
1421 N Col Rowe Blvd
Ste A
McAllen, TX 78501
Phone (956) 362-3930
2108 S M St
Ste 4
McAllen, TX 78503
Phone (956) 362-8538
Interoperability endpoints
- mi.gutierrez@dhr.cernerdirect.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Edinburg, TX
- NPI 1467633867
-
- Specialist
- McAllen, TX
- NPI 1417195033
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba DHR Health
- General Acute Care Hospital
- Edinburg, TX
- NPI 1053317362
-
dba DHR Health
- Transplant Surgery Physician
- McAllen, TX
- NPI 1104338052
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484784000000",
"number": "1922005438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749",
"city": "PHARR",
"state": "TX",
"postal_code": "785771614",
"telephone_number": "956-362-2171",
"fax_number": "956-686-8999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2108 SOUTH M ST",
"address_2": "STE 4",
"city": "MCALLEN",
"state": "TX",
"postal_code": "78503",
"telephone_number": "956-686-8100",
"fax_number": "956-686-8999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "MIGUEL",
"middle_name": "ANGEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2017-01-19",
"deactivation_date": "2006-03-17",
"reactivation_date": "2006-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "K8190",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "090009403",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.