Active NPI
Scott Ryan Gutierrez, CRNA
- Certified Registered Nurse Anesthetist
- Oak Brook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN633564
- Practice address
- 1301 W 22ND St
Suite 610
Oak Brook, IL 60523-2006 - Phone
- (630) 537-1720
- Fax
- (630) 537-1724
- NPI assigned
- Feb 16, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APN.0994097-CRNA | CO | |
| Certified Registered Nurse Anesthetist | 367500000X | RN633564 | PA | Primary |
Addresses
Primary practice location
1301 W 22ND St
Suite 610
Oak Brook, IL 60523-2006
Mailing address
315 Arch St
Apt 603
Philadelphia, PA 19106-1800
Phone (303) 912-2851
Other practice location 1
11650 W 2nd Pl
Lakewood, CO 80228-1527
Phone (720) 321-5160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11650 W 2ND PL
CMG Anesthesia Orthocolorado
Lakewood, CO 80228-1527
Phone (720) 321-5160
Hospital & facility affiliations
- Orthocolorado Hosp at St Anthony Med Campus
- Centura Health-St Anthony Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.8 of 100
- Quality
- 85
- Improvement activities
- 40
- Cost
- 76.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN633564 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| US Anesthesia Partners of Colorado Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients |
Locations
9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193
8000 E Maplewood Ave
Ste 120
Greenwood Village, CO 80111
11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010
11650 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-5160
10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000
41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551
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 and National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Colorado Springs, CO
- NPI 1356783351
-
- Anesthesiology Physician
- Greenwood Village, CO
- NPI 1922365782
Nurse Anesthetist, Certified Registered
-
- Hematology & Oncology Physician
- Pueblo, CO
- NPI 1568181162
-
- Orthopaedic Surgery Physician
- Longmont, CO
- NPI 1891675294
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lakewood, CO
- NPI 1104466630
-
- General Acute Care Hospital
- Lakewood, CO
- NPI 1164430567
-
- General Acute Care Hospital
- Lakewood, CO
- NPI 1740820273
-
- Special Hospital
- Lakewood, CO
- NPI 1306176839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1992196703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 ARCH ST",
"address_2": "APT 603",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191061800",
"telephone_number": "303-912-2851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 W 22ND ST",
"address_2": "SUITE 610",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605232006",
"telephone_number": "630-537-1720",
"fax_number": "630-537-1724"
}
],
"practiceLocations": [
{
"address_1": "11650 W 2nd Pl",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "CO",
"postal_code": "802281527",
"country_code": "US",
"telephone_number": "720-321-5160",
"fax_number": "720-321-5161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "SCOTT",
"middle_name": "RYAN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-16",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CO",
"license": "APN.0994097-CRNA",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN633564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.