Ezara Gutierrez, DO

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

S4483 Issued in TX

Practice address

6423 Babcock Rd Ste 101
San Antonio, TX 78249-2950

Phone

(210) 544-5715

NPI assigned

May 31, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Family Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ezara.gutierrez@969083732099076.direct.elationemr.com
• Direct secure messaging: ezara.gutierrez.1@24422.direct.athenahealth.com

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.

• Babcock Wellness & Rejuvenation PLLC

  dba Babcock Health and Wellness Clinic

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1083463053
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1942738240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6423 BABCOCK RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492950",
            "telephone_number": "210-544-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6423 BABCOCK RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492950",
            "telephone_number": "210-544-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "EZARA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-31",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "TX",
            "license": "S4483",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "S4483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Marie Gutierrez
• Elena Gutierrez, LPC
• Elsa Gutierrez, SLP A
• Eric Gutierrez
• Erica M Gutierrez, LVN
• Francesca Marie Gutierrez, SP
• Gabriela Gutierrez
• George Albert Gutierrez, DDS
• Gerardo S Gutierrez, MA, CCC-SLP
• Getzael Gutierrez, REGISTERED NURSE

• Adult Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Adult Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.

Verify at the official NPI Registry.