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DR. ELSA D GUTIERREZ MD NPI 1366438061


NPI Information

NPI: 1366438061
Provider Name: DR. ELSA D GUTIERREZ, MD
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 26D1010942

Address:
522 N NEW BALLAS RD
SUITE 180
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 991-8700
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DR. Elsa D Gutierrez, MD is a specialist in Saint Louis, MO with 40 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Elsa D Gutierrez, MD NPI is 1366438061. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Graduation Year:1984

The provider's business location address is:

522 N NEW BALLAS RD
SUITE 180
SAINT LOUIS, MO
ZIP 63141-857
Phone: (314) 991-8700
Fax: (314) 991-8790

The NPI 1366438061 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 CLIA number assigned to this NPI record is 26D1010942 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

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.

  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Tangential biopsy of single skin lesion (HCPCS:11102)
  • Destruction of skin growth (HCPCS:17000)
  • Radiation treatment management, 5 treatments (HCPCS:77427)
  • Tangential biopsy of additional skin lesion (HCPCS:11103)
  • Destruction of up to 14 skin growths (HCPCS:17110)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • Radiation treatment devices, design and construction, complex (HCPCS:77334)

The enumeration date for this NPI number is 9/27/2005 and was last updated on 12/11/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistR8F97MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A12931MEDICARE UPIN
2A12931MEDICARE UPINMISSOURI
3001013750MEDICARE PIN

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.