SERGIO JASAEL GUTIERREZ MD
NPI 1023742962
Student in an Organized Health Care Education/Training Program in Conroe, TX

Q: What is Sergio Gutierrez's NPI number?

The NPI number for Sergio Gutierrez is 1023742962. It was assigned to this individual provider in the NPPES registry on July 15, 2022.

Q: What is Sergio Gutierrez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Sergio Gutierrez was last updated on May 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 15, 2022PECOS Enrolled

605 S CONROE MEDICAL DR, CONROE, TX 77304(936) 539-4004(936) 521-3964 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 8, 2026, Jul 15, 2022 (2 updates tracked since 2022).

On this page

About Sergio Jasael Gutierrez Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERGIO JASAEL GUTIERREZ MD (NPI 1023742962) is an individual student in an organized health care education/training program in Conroe, Texas, licensed in Texas (BP10098083) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023742962

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSERGIO JASAEL GUTIERREZCredential: MD

Location Address605 S CONROE MEDICAL DRConroe, TX 77304-4722

Mailing Address605 S Conroe Medical DrConroe, TX 77304-4722 · (936) 539-4004 · Fax (936) 539-3635

Phone(936) 539-4004

Fax(936) 521-3964

Sole ProprietorNo

Enumeration DateJuly 15, 2022

Last NPPES UpdateMay 8, 20262 updates tracked since enumeration

NPPES CertifiedMay 8, 2026

✔ NPI 1023742962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in TX · BP10098083

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

605 S CONROE MEDICAL DR, Conroe, TX 77304

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sergio Jasael Gutierrez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Leave this field empty