DR. RAFAEL GUTIERREZ MD
NPI 1104453661
Pediatrics in Phoenix, AZ

Q: What is Rafael Gutierrez's NPI number?

The NPI number for Rafael Gutierrez is 1104453661. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Q: What is Rafael Gutierrez's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Rafael Gutierrez was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 25, 2020

1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-0762 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 9, 2026, Jul 18, 2023, Feb 7, 2023 and 2 more (5 updates tracked since 2020).

On this page

About Dr. Rafael Gutierrez Md NPPES

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

DR. RAFAEL GUTIERREZ MD (NPI 1104453661) is an individual pediatrics provider in Phoenix, Arizona, licensed in Missouri (2023008506) and active in the NPI registry since March 2020. He maintains a secondary practice location in St Louis.

NPPES Registry Identity

NPI1104453661

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. RAFAEL GUTIERREZCredential: MD

Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710

Mailing Address1919 E Thomas RdPhoenix, AZ 85016-7710

Phone(602) 933-0762

Sole ProprietorNo

Enumeration DateMarch 25, 2020

Last NPPES UpdateApril 9, 20265 updates tracked since enumeration

NPPES CertifiedApril 9, 2026

✔ NPI 1104453661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in MO · 2023008506✔ Licensed in WI · 76314-20

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1919 E THOMAS RD, Phoenix, AZ 85016

Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Childrens Pl MSC 8116-0043-08St Louis, MO 63110 · Phone (314) 454-4826 · Fax (314) 454-4633

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TIMUR RAGHIB M.D.

Hospitalist