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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. DOMINIQUE JAY GUTIERREZ MD
NPI 1528638731
Family Medicine in Saint Joseph, MI

Active since June 29, 2021PECOS Enrolled
1234 NAPIER AVE, SAINT JOSEPH, MI 49085(269) 982-4941 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2026, May 15, 2023, Jun 30, 2021 (3 updates tracked since 2021).

About Dr. Dominique Jay Gutierrez Md NPPES

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

DR. DOMINIQUE JAY GUTIERREZ MD (NPI 1528638731) is an individual family medicine provider in Saint Joseph, Michigan, licensed in Michigan (4301518252) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1528638731
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DOMINIQUE JAY GUTIERREZCredential: MD
Location Address1234 NAPIER AVESaint Joseph, MI 49085-2112
Mailing Address50 Industrial Park RdBangor, MI 49013-1246 · (855) 869-6900
Phone(269) 982-4941
Sole ProprietorYes
Enumeration DateJune 29, 2021
Last NPPES UpdateJuly 8, 20263 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1528638731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301518252
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.
1234 NAPIER AVE, Saint Joseph, MI 49085
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1800 M 139Benton Harbor, MI 49022-3881 · Phone (855) 869-6900
Location 2796 M 139Benton Harbor, MI 49022-3855 · Phone (855) 869-6900

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dominique Jay Gutierrez 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 49085 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

HANY S MESIHA MD
Internal Medicine
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 983-8300
CORY MINIER SCHMIDT MD
Pediatrics
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 985-4632
JORDAN ANDERSON
Occupational Therapist
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 983-8332
DR. KAREN J DYER M.D.
Pediatrics
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 985-4632
MR. NATHAN JOHN JORDAN MD
Radiology (Diagnostic Radiology)
1234 NAPIER AVE
ST JOSEPH, MI 49085
Berrien County (269) 983-8300
DR. JAMES G. SISAMIS MD
Anesthesiology
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 428-0118
DR. DIEGO P BETITA MD
Anesthesiology
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 428-0118
DR. JESSICA LYNN HAMILL SCHINDLER D.O.
Emergency Medicine
1234 NAPIER AVE, LAKELAND REGIONAL MEDICAL CENTER
SAINT JOSEPH, MI 49085
Berrien County (269) 982-4941

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 Dominique Gutierrez's NPI number?

The NPI number for Dominique Gutierrez is 1528638731. It was assigned to this individual provider in the NPPES registry on June 29, 2021.

Where is Dominique Gutierrez located?

Dominique Gutierrez practices at 1234 Napier Ave, Saint Joseph, MI 49085. The listed phone number is (269) 982-4941.

What is Dominique Gutierrez's specialty?

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

Is Dominique Gutierrez enrolled in Medicare?

Yes. Dominique Gutierrez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dominique Gutierrez was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.