IVAN GUTIERREZ DURRUTHY MD - NPI 1356915839 - Family Medicine in Tampa, FL

Q: What is Ivan Gutierrez Durruthy's NPI number?

The NPI number for Ivan Gutierrez Durruthy is 1356915839. It was assigned to this individual provider in the NPPES registry on May 18, 2021.

Q: What is Ivan Gutierrez Durruthy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Ivan Gutierrez Durruthy Md NPPES

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

IVAN GUTIERREZ DURRUTHY MD (NPI 1356915839) is an individual family medicine provider in Tampa, Florida, licensed in Florida (ACN1588) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356915839

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameIVAN GUTIERREZ DURRUTHYCredential: MD

Location Address9309 N FLORIDA AVE STE 111Tampa, FL 33612-7237

Mailing Address9309 N Florida Ave Ste 111Tampa, FL 33612-7237 · (813) 444-9823

Phone(813) 444-9823

Sole ProprietorYes

Enumeration DateMay 18, 2021

Last NPPES UpdateNovember 22, 20233 updates tracked since enumeration

NPPES CertifiedNovember 22, 2023

✔ NPI 1356915839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ACN1588

Definition

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 16427-I (PR)

Also ListedPhysician AssistantTaxonomy 363A00000X · License 000964-PA (PR)

9309 N FLORIDA AVE STE 111, Tampa, FL 33612

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivan Gutierrez Durruthy 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33612 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 6

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

CAREMAX MEDICAL CENTERS OF CENTRAL FLORIDA, LLC

Clinic/Center