Active NPI
Carlos Abraham Gutierrez, M.D., F.A.A.P.
- Pediatrics Physician
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- F8501
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161340801 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Topcare Medical Group Inc | Current | Accepting new patients | |
| Tenet Hospitals Limited | Past | Accepting new patients | |
| El Paso Children'S Hospital Corporation | Past | Accepting new patients | |
| Topcare Medical PA | Past | 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
- 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.
-
- Specialist
- Dallas, TX
- NPI 1730337163
-
- Children's Hospital
- El Paso, TX
- NPI 1558659714
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1770536120
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1700801909
-
- Specialist
- Irving, TX
- NPI 1043231400
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.