DR. JOSE MANUEL GUTIERREZ AMEZCUA MD
NPI 1154983971
Pathology - Anatomic Pathology & Clinical Pathology in Burlington, VT
About Dr. Jose Manuel Gutierrez Amezcua Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOSE MANUEL GUTIERREZ AMEZCUA MD (NPI 1154983971) is an individual anatomic pathology & clinical pathology provider in Burlington, Vermont, licensed in Vermont (042.0018655) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Champlain Valley Physicians Hospital Medical Ctr, and maintains a secondary practice location in New York.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jose Manuel Gutierrez Amezcua Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jose Manuel Gutierrez Amezcua reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Burlington, VT 05401
- Reassigned Medicare billing, Vermont enrollment
- 1,643 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Champlain Valley Physicians Hospital Medical Ctr
Acute Care Hospitals · Plattsburgh, NYCentral Vermont Medical Center
Acute Care Hospitals · Barre, VTUniv. Of Vermont - Fletcher Allen Health Care
Acute Care Hospitals · Burlington, VTNorthwestern Medical Center Inc
Acute Care Hospitals · Saint Albans, VTPorter Hospital, Inc
Critical Access Hospitals · Middlebury, VTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 05401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BURLINGTON, VT 05401
BURLINGTON, VT 05401
BURLINGTON, VT 05401
BURLINGTON, VT 05401
BURLINGTON, VT 05401
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jose Manuel Gutierrez Amezcua's NPI number?
The NPI number for Jose Manuel Gutierrez Amezcua is 1154983971. It was assigned to this individual provider in the NPPES registry on July 2, 2019.
Where is Jose Manuel Gutierrez Amezcua located?
Jose Manuel Gutierrez Amezcua practices at 111 Colchester Ave, Burlington, VT 05401. The listed phone number is (802) 847-0000.
What is Jose Manuel Gutierrez Amezcua's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
Is Jose Manuel Gutierrez Amezcua enrolled in Medicare?
Yes. Jose Manuel Gutierrez Amezcua is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jose Manuel Gutierrez Amezcua's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jose Manuel Gutierrez Amezcua reassigns Medicare benefits to University Of Vermont Medical Center Inc (Burlington, VT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jose Manuel Gutierrez Amezcua's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jose Manuel Gutierrez Amezcua accept?
Health plans from Anthem Blue Cross and Blue Shield list Jose Manuel Gutierrez Amezcua as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Jose Manuel Gutierrez Amezcua affiliated with any hospitals?
According to CMS data, Jose Manuel Gutierrez Amezcua is affiliated with Champlain Valley Physicians Hospital Medical Ctr, Central Vermont Medical Center, Univ. Of Vermont - Fletcher Allen Health Care, Northwestern Medical Center Inc and Porter Hospital, Inc.
When was this NPI record last updated?
The NPPES record for Jose Manuel Gutierrez Amezcua was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. Jose Manuel Gutierrez Amezcua, MD · NPI 1154983971
Anatomic Pathology & Clinical Pathology physician in Burlington, Vermont. Individual provider, active in the CMS NPPES registry since July 2, 2019.
## Identity
- **NPI:** 1154983971 (Entity type: Individual)
- **Enumerated:** July 2, 2019
- **Primary specialty:** Pathology - Anatomic Pathology & Clinical Pathology · taxonomy 207ZP0102X
- **State license:** 042.0018655 (Vermont)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 111 COLCHESTER AVE, Burlington, VT 05401-1473
- **Phone:** (802) 847-0000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Vermont Medical Center Inc (NPI 1659309615, Burlington, VT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** July 9, 2025
- **Other identifiers:** Medicaid 13-3971298 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1154983971) · Data from the CMS NPPES public registry.