RAUL ALFONSO GUTIERREZ CHAVEZ MD
NPI 1497540421
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Raul Gutierrez Chavez's NPI number?

The NPI number for Raul Gutierrez Chavez is 1497540421. It was assigned to this individual provider in the NPPES registry on April 10, 2025.

Q: What is Raul Gutierrez Chavez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 10, 2025PECOS Enrolled

2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2600 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Raul Alfonso Gutierrez Chavez Md NPPES

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

RAUL ALFONSO GUTIERREZ CHAVEZ MD (NPI 1497540421) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497540421

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameRAUL ALFONSO GUTIERREZ CHAVEZCredential: MD

Location Address2799 W GRAND BLVDDetroit, MI 48202-2689

Mailing Address401 Cougar StCocoa, FL 32927-4785 · (321) 479-8497

Phone(313) 916-2600

Sole ProprietorNo

Enumeration DateApril 10, 2025

NPPES CertifiedApril 10, 2025

✔ NPI 1497540421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2799 W GRAND BLVD, Detroit, MI 48202

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raul Alfonso Gutierrez Chavez 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.

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.

HENRY FORD HOSPITAL

General Acute Care Hospital