Active NPI
Karina Gutierrez Lopez, M.D.
- Family Medicine Physician
- Bastrop, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- Q6842
- Practice address
- 441 Highway 71 W
Suite C
Bastrop, TX 78602-3931 - Phone
- (512) 304-0313
- NPI assigned
- Apr 11, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | BP10045833 | TX | |
| Family Medicine Physician | 207Q00000X | Q6842 | TX | Primary |
Addresses
Primary practice location
441 Highway 71 W
Suite C
Bastrop, TX 78602-3931
Mailing address
441 Highway 71 W
Suite C
Bastrop, TX 78602-3931
Phone (512) 304-0313
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 360243501 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160721000310 | TX | Practitioner - Family Practice | 0749573251 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Medical Branch at Galveston, 2013
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
208 W Ben White Blvd
Austin, TX 78704-7126
Phone (512) 861-8060
2901 Montopolis Dr
Austin, TX 78741-6411
Phone (512) 978-9955
505 W Louis Henna Blvd
Suite 100
Austin, TX 78728-1702
Phone (855) 481-8375
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10045833 | TX | MD | Family Medicine Physician |
| Q6842 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Seton | Current | Accepting new patients | |
| Harbor Health Medical Group | Family Medicine | Current | Accepting new patients |
| Ascension Seton | Current | Accepting new patients | |
| Ascension Seton | Family Medicine | Current | Accepting new patients |
| St. David'S Carenow Urgent Care PLLC | Family Medicine | Current | Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300
505 W Louis Henna Blvd
Ste 100
Austin, TX 78728
Phone (512) 252-1505
911 W 38th St
Ste 101
Austin, TX 78705
Phone (512) 600-2888
5033 W Highway 290
Austin, TX 78735
Phone (512) 265-8980
208 W Ben White Blvd
Austin, TX 78704
Phone (512) 351-4310
507 Calles St
Ste 100
Austin, TX 78702
441 Highway 71 W
Ste C
Bastrop, TX 78602
Phone (512) 301-0313
5001 183A Toll Rd
Ste R100
Cedar Park, TX 78613
Phone (512) 595-7000
177 Kirkham Cir
Kyle, TX 78640
Phone (512) 405-0077
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
130 Hays St
Ste Bd
Luling, TX 78648
Phone (830) 875-7000
1201A Hill Rd
Smithville, TX 78957
Phone (512) 360-3698
Interoperability endpoints
- karina.gutierrez.1@28292.direct.athenahealth.com
- https://api.platform.athenahealth.com/28292/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Austin, TX
- NPI 1851844104
Family Medicine, TX
-
- Medicare Defined Swing Bed Hospital Unit
- Smithville, TX
- NPI 1598590101
-
- Rural Health Clinic/Center
- Bastrop, TX
- NPI 1700392602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489622400000",
"number": "1992148605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 HIGHWAY 71 W",
"address_2": "SUITE C",
"city": "BASTROP",
"state": "TX",
"postal_code": "786023931",
"telephone_number": "512-304-0313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 HIGHWAY 71 W",
"address_2": "SUITE C",
"city": "BASTROP",
"state": "TX",
"postal_code": "786023931",
"telephone_number": "512-304-0313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ LOPEZ",
"first_name": "KARINA",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-11",
"last_updated": "2017-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "BP10045833",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "Q6842",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "360243501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bastrop, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.