GUTIERREZ-PEREZ FAMILY MEDICINE
NPI 1457559221
Family Medicine in Kissimmee, FL
About Gutierrez-perez Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GUTIERREZ-PEREZ FAMILY MEDICINE (NPI 1457559221) is a healthcare organization registered as a family medicine in Kissimmee, Florida and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through September 24, 2027 and lists Enrique G. Gutierrez, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gutierrez-perez Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Gutierrez-Perez Family Medicine, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D1074203
Enrique G Gutierrez MD PA · Kissimmee, FLFrequently 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 Enrique G Gutierrez MD PA's NPI number?
The NPI number for Enrique G Gutierrez MD PA is 1457559221. It was assigned to this organization in the NPPES registry on July 3, 2007. The provider is doing business as Gutierrez-Perez Family Medicine.
Where is Enrique G Gutierrez MD PA located?
Enrique G Gutierrez MD PA is located at 907A N Central Ave, Kissimmee, FL 34741. The listed phone number is (407) 846-2050.
What is Enrique G Gutierrez MD PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Enrique G Gutierrez MD PA enrolled in Medicare?
Yes. Enrique G Gutierrez MD PA is registered in the Medicare PECOS enrollment system.
When is Enrique G Gutierrez MD PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Enrique G Gutierrez MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Enrique G Gutierrez MD PA. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Enrique G Gutierrez MD PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D1074203) is associated with this NPI, valid through September 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Enrique G Gutierrez MD PA accept?
Health plans from Ambetter Health, Ambetter of Alabama and Molina Healthcare list Enrique G Gutierrez MD PA 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.
When was this NPI record last updated?
The NPPES record for Enrique G Gutierrez MD PA was last updated on September 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Gutierrez-Perez Family Medicine · NPI 1457559221
Family Medicine organization in Kissimmee, Florida. Organization record, active in the CMS NPPES registry since July 3, 2007.
## Identity
- **NPI:** 1457559221 (Entity type: Organization)
- **Enumerated:** July 3, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Enrique G Gutierrez Md Pa
- **Organization subpart:** No
- **Authorized official:** Enrique Gutierrez, PRESIDENT
## Practice location
- **Address:** 907A N CENTRAL AVE, Kissimmee, FL 34741-5029
- **Phone:** (407) 846-2050 · **Fax:** (407) 846-0338
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 23, 2007
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1457559221) · Data from the CMS NPPES public registry.