ANDRES GUTIERREZ MD
NPI 1568969996
Student in an Organized Health Care Education/Training Program in Winnetka, IL
About Andres Gutierrez Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDRES GUTIERREZ MD (NPI 1568969996) is an individual student in an organized health care education/training program in Winnetka, Illinois and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Andres Gutierrez Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Andres Gutierrez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lancaster, CA 93534
- Reassigned Medicare billing, California enrollment
- 13,921 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.
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 Andres Gutierrez's NPI number?
The NPI number for Andres Gutierrez is 1568969996. It was assigned to this individual provider in the NPPES registry on April 11, 2018.
Where is Andres Gutierrez located?
Andres Gutierrez practices at 175 Spring Ln, Winnetka, IL 60093. The listed phone number is (312) 560-4025.
What is Andres Gutierrez's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Andres Gutierrez enrolled in Medicare?
Yes. Andres Gutierrez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Andres Gutierrez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andres Gutierrez reassigns Medicare benefits to Southern California Permanente Medical Group (Lancaster, CA). 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 Andres Gutierrez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Andres Gutierrez was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Andres Gutierrez, MD · NPI 1568969996
Student in an Organized Health Care Education/Training Program provider in Winnetka, Illinois. Individual provider, active in the CMS NPPES registry since April 11, 2018.
## Identity
- **NPI:** 1568969996 (Entity type: Individual)
- **Enumerated:** April 11, 2018
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 175 SPRING LN, Winnetka, IL 60093-3728
- **Phone:** (312) 560-4025
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1982863783, Lancaster, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Tulane University School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** October 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1568969996) · Data from the CMS NPPES public registry.