DR. DOMINIQUE JAY GUTIERREZ MD
NPI 1528638731
Family Medicine in Saint Joseph, MI
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
Specialties & Licenses
Secondary Practice Locations 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Dominique Jay Gutierrez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Dominique Gutierrez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Benton Harbor, MI 49022
- Reassigned Medicare billing, Michigan enrollment
- 101 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
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.
Which organization bills Medicare for Dominique Gutierrez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Gutierrez reassigns Medicare benefits to Intercare Community Health Network (Benton Harbor, MI). The 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 Dominique Gutierrez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dominique Gutierrez accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and UnitedHealthcare list Dominique Gutierrez 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 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 3 months 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.
# Dr. Dominique Jay Gutierrez, MD · NPI 1528638731
Family Medicine physician in Saint Joseph, Michigan. Individual provider, active in the CMS NPPES registry since June 29, 2021.
## Identity
- **NPI:** 1528638731 (Entity type: Individual)
- **Enumerated:** June 29, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 4301518252 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1234 NAPIER AVE, Saint Joseph, MI 49085-2112
- **Phone:** (269) 982-4941
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Intercare Community Health Network (NPI 1902235328, Benton Harbor, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1528638731) · Data from the CMS NPPES public registry.