Individual provider Active NPI

Carlos Abraham Gutierrez, M.D., F.A.A.P.

  • Pediatrics Physician
  • El Paso, TX
National Provider Identifier
1922042985
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
F8501 Issued in TX
Practice address
2325 Pershing Dr
El Paso, TX 79903-3608
Phone
(915) 590-5600
Fax
(915) 590-7367
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X F8501 TX Primary

Addresses

Primary practice location

2325 Pershing Dr
El Paso, TX 79903-3608

Mailing address

2325 Pershing Dr
El Paso, TX 79903-3608
Phone (915) 590-5600

Other identifiers 1

IdentifierTypeStateIssuer
161340801MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610000835 TX Practitioner - Pediatric Medicine 6103809165 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Topcare Medical Group Inc CurrentSince Mar 18, 2024 Accepting new patients
Tenet Hospitals Limited Past Accepting new patients
El Paso Children'S Hospital Corporation Past Accepting new patients
Topcare Medical PA PastSince Apr 2, 2012 Accepting new patients
El Paso Healthcare System LTD Past Accepting new patients

Locations

12377 Merit Dr
Ste 300
Dallas, TX 75251

2325 Pershing Dr
El Paso, TX 79903
Phone (915) 590-5600

229 NE 28th St
Ft Worth, TX 76164
Phone (817) 566-0478

410 E Pioneer Pkwy
Ste 300
Grand Prairie, TX 75051
Phone (469) 733-1890

10058A Long Point Rd
Houston, TX 77055
Phone (832) 380-3980

222 Las Colinas Blvd W
Ste 2000
Irving, TX 75039

1120 E Parker Rd
Ste 195
Plano, TX 75074
Phone (469) 298-1216

Interoperability endpoints

  • Direct secure messaging: carlos.gutierrez.1@18124.direct.athenahealth.com

Organizations & group practices 5

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1922042985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 PERSHING DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799033608",
            "telephone_number": "915-590-5600",
            "fax_number": "915-590-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 PERSHING DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799033608",
            "telephone_number": "915-590-5600",
            "fax_number": "915-590-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "CARLOS",
        "middle_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.A.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "F8501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161340801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.