OMAR DE JESUS GUTIERREZ M.D. NPI 1396998977

NPI Information

NPI: 1396998977
Provider Name: OMAR DE JESUS GUTIERREZ, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 1635 MARVEL ST
COUSHATTA, LA
ZIP 71019
Phone: (318) 932-2000

Map and Directions

Get Directions

NPI Details

Omar De Jesus Gutierrez, M.D. is a family medicine in Coushatta, LA with 23 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Omar De Jesus Gutierrez, M.D. NPI is 1396998977. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Graduation Year:2003

The provider's business location address is:

1635 MARVEL ST
COUSHATTA, LA
ZIP 71019-022
Phone: (318) 932-2000

The NPI 1396998977 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.

Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
Hospital discharge day management, 30 minutes or less (HCPCS:99238)
Emergency department visit for life threatening or functioning severity (HCPCS:99285)
Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)

The enumeration date for this NPI number is 10/28/2008 and was last updated on 8/26/2025.

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	License Number	License State	Primary
1	207Q00000X	Family Medicine	E-14401	ARKANSAS	No
2	208600000X	Surgery	250840	NEW YORK	No
3	207Q00000X	Family Medicine	324278	LOUISIANA	Yes
4	207Q00000X	Family Medicine	250840-1	NEW YORK	No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2540483	MEDICAID	LOUISIANA
2	251109001	MEDICAID	ARKANSAS

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

NPI Synchronization or Removal

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.

Previous NPI

Next NPI