ALEX GUTIERREZ MD
NPI 1215593900
Emergency Medicine in Kokomo, IN

Q: What is Alex Gutierrez's NPI number?

The NPI number for Alex Gutierrez is 1215593900. It was assigned to this individual provider in the NPPES registry on May 17, 2019.

Q: What is Alex Gutierrez's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Alex Gutierrez was last updated on July 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 May 17, 2019PECOS EnrolledAccepts Medicare Assignment

1907 W SYCAMORE ST, KOKOMO, IN 46901(765) 452-5611 Get Directions Write a Review

NPPES record last updated: July 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2024, Apr 12, 2021, May 17, 2019 (3 updates tracked since 2019).

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About Alex Gutierrez Md NPPES

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

ALEX GUTIERREZ MD (NPI 1215593900) is an individual emergency medicine provider in Kokomo, Indiana, licensed in Indiana (01093508A) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Kokomo, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1215593900

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameALEX GUTIERREZCredential: MD

Location Address1907 W SYCAMORE STKokomo, IN 46901-5148

Mailing Address1701 N Senate Blvd # Ag012Indianapolis, IN 46202-1239

Phone(765) 452-5611

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMay 17, 2019

Last NPPES UpdateJuly 21, 20243 updates tracked since enumeration

NPPES CertifiedJuly 21, 2024

✔ NPI 1215593900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in IN · 01093508A

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1907 W SYCAMORE ST, Kokomo, IN 46901

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Secondary Practice Locations 2

Location 1500 S Preston St Rm 305Louisville, KY 40202-1702 · Phone (502) 852-8696

Location 21701 N Senate Blvd # Ag012Indianapolis, IN 46202-1239 · Phone (317) 962-5975

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alex Gutierrez 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.

PECOS PAC ID1052711504

PECOS Enrollment IDI20240724003483

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

110 services103 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

60 services57 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

55 services54 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St Vincent Kokomo

Acute Care Hospitals · Kokomo, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150010

Location1907 W Sycamore StKokomo, IN 46904 · Howard County

Emergency services Birthing friendly

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150084

Location2001 W 86th StIndianapolis, IN 46260 · Marion County

Emergency services Birthing friendly

Ascension St Vincent Carmel

Acute Care Hospitals · Carmel, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150157

Location13500 N Meridian StCarmel, IN 46032 · Hamilton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MELISSA ANNE COGDELL CRNA

Nurse Anesthetist, Certified Registered