Active NPI
Robert Gutierrez, D.O.
- Internal Medicine Physician
- North Port, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS6317
- Practice address
- 13815 Tamiami TRL
North Port, FL 34287-2069 - Phone
- (941) 426-4900
- Fax
- (941) 423-9422
- NPI assigned
- Dec 22, 2005
- Last updated
- Aug 25, 2020
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS6317 | FL | Primary |
Addresses
Primary practice location
13815 Tamiami TRL
North Port, FL 34287-2069
Mailing address
2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 372145100 | Medicaid | FL | |
| 80700 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- Internal Medicine
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1065 Tamiami TRL N
Nokomis, FL 34275-2144
Phone (941) 477-2364
1126 S 14TH St
Fernandina Beach, FL 32034-2920
Phone (904) 432-3061
1128 S 14TH St
Fernandina Beach, FL 32034-2920
Phone (904) 420-6105
1132 S 14TH St
Fernandina Beach, FL 32034-2920
Phone (904) 277-4690
13807 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 257-1108
13815 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 426-4900
13823 Tamiami TRL
North Port, FL 34287-2069
Phone (941) 888-0770
150 W McKenzie St
Punta Gorda, FL 33950-5500
Phone (941) 621-6476
171 Ctr Rd
Venice, FL 34285-5572
Phone (941) 499-5407
177 Ctr Rd
Venice, FL 34285-5572
Phone (941) 207-5350
19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535
2315 Aaron St
Port Charlotte, FL 33952-5305
Phone (941) 613-2222
2335 Aaron St
Port Charlotte, FL 33952-5305
Phone (941) 787-7665
2343 Aaron St
Port Charlotte, FL 33952-5305
Phone (941) 629-2900
2675 Winkler Ave
Fort Myers, FL 33901-9328
2675 Winkler Avenue
Suite 200
Fort Myers, FL 33901-9328
3600 William Penn Way
Venice, FL 34293-5236
Phone (941) 483-0746
4130 Tamiami TRL
Suite 2
Port Charlotte, FL 33952-9207
Phone (941) 787-7100
900 Pine St
Suite 221
Englewood, FL 34223-4458
Phone (941) 548-1708
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS6317 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Millennium Physician Group LLC | Internal Medicine | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108
13815 Tamiami Trl
North Port, FL 34287
Phone (941) 426-4900
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
2450 Tamiami Trl
Ste A
Pt Charlotte, FL 33952
Phone (941) 235-3447
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- robert.gutierrez.1@15244.direct.athenahealth.com
- robert.gutierrez.1@4290.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
Internal Medicine
-
- Health Service Clinic/Center
- Venice, FL
- NPI 1346912805
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba dba Sarasota Memorial Home Care
- Home Health Agency
- Sarasota, FL
- NPI 1013915149
-
dba Aveanna Home Health
- Home Health Agency
- Sarasota, FL
- NPI 1205051497
-
dba HCA Florida Englewood Hospital
- General Acute Care Hospital
- Englewood, FL
- NPI 1639122864
-
dba HCA Florida Fawcett Hospital
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1417901406
-
- Home Health Agency
- Port Charlotte, FL
- NPI 1700058583
-
dba HCA Florida Healthcare at Home
- Home Health Agency
- PT Charlotte, FL
- NPI 1891747952
-
dba Sarasota Memorial Hospital
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598313600000",
"number": "1952388795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 WINKLER AVE FL 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019342",
"telephone_number": "877-856-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13815 TAMIAMI TRL",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342872069",
"telephone_number": "941-426-4900",
"fax_number": "941-423-9422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2020-08-25",
"certification_date": "2020-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS6317",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "372145100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "80700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Port, FL
- Gulf Coast Hma Physician Management LLC (GCMG-North Port)
- Gulf Coast Hma Physician Management LLC (GCMG-Eric Reintsema, MD)
- Gulf Coast Practitioners LLC
- Lisa Beth Gussin, LMHC
- Brianna Gustafson
- Reyberto Guzman Elias, DMD
- Brandon Haarer, BS, PHARMD
- Caroline Haidinger, PA
- Sylvia Victoria Haley
- Cathy Hall
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.