CHARLES JOHN GUTIERREZ M.D. NPI 1104807627

NPI Information

  • NPI: 1104807627
  • Provider Name: CHARLES JOHN GUTIERREZ, M.D.
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 350 PINE ST
    SUITE 1415
    BEAUMONT, TX
    ZIP 77701
  • Phone: (409) 924-8600

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NPI Details

Charles John Gutierrez, M.D. is a surgery in Beaumont, TX with 32 years of experience. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Charles John Gutierrez, M.D. NPI is 1104807627. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduation Year:1994

The provider's business location address is:

350 PINE ST
SUITE 1415
BEAUMONT, TX
ZIP 77701-441
Phone: (409) 924-8600
Fax: (409) 924-8607

The NPI 1104807627 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Chemical destruction of first incompetent vein of arm or leg using imaging guidance (HCPCS:36482)
  • Injection of chemical agent into single incompetent vein of leg using ultrasound guidance (HCPCS:36465)
  • Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance (HCPCS:36466)
  • Injection of chemical agent into multiple incompetent veins of leg (HCPCS:36471)
  • Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance (HCPCS:36475)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Varicose vein removal (HCPCS:NAN08)

The enumeration date for this NPI number is 11/10/2005 and was last updated on 3/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular SurgeryK9794TEXASNo
2208600000XSurgeryK9794TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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