JUAN CARLOS CEDILLO GUTIERREZ M.D
NPI 1588417646
Student in an Organized Health Care Education/Training Program in Ypsilanti, MI

Q: What is Juan Cedillo Gutierrez's NPI number?

The NPI number for Juan Cedillo Gutierrez is 1588417646. It was assigned to this individual provider in the NPPES registry on April 9, 2024. The provider is also known as Juan Carlos Cedillo.

Q: What is Juan Cedillo Gutierrez'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 09, 2024PECOS Enrolled

ACADEMIC INTERNAL MEDICINE CLINIC 5333, MCAULEY DRIVE , SUITE 4001, YPSILANTI, MI 48197(734) 712-3980 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 26, 2024, Apr 9, 2024 (2 updates tracked since 2024).

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About Juan Carlos Cedillo Gutierrez M.d NPPES

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

JUAN CARLOS CEDILLO GUTIERREZ M.D (NPI 1588417646) is an individual student in an organized health care education/training program in Ypsilanti, Michigan and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588417646

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJUAN CARLOS CEDILLO GUTIERREZCredential: M.D

Location AddressACADEMIC INTERNAL MEDICINE CLINIC 5333, MCAULEY DRIVE , SUITE 4001Ypsilanti, MI 48197-8633

Mailing AddressReal De Pontevedra #256 Los RealesSaltillo, COAHULA 25253

Phone(734) 712-3980

Sole ProprietorNo

Enumeration DateApril 9, 2024

Last NPPES UpdateJune 26, 20242 updates tracked since enumeration

✔ NPI 1588417646 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.

ACADEMIC INTERNAL MEDICINE CLINIC 5333, Ypsilanti, MI 48197

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Other Names 1

Other Name (5)Juan Carlos Cedillo

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Juan Carlos Cedillo Gutierrez M.d 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.

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 Juan Cedillo Gutierrez's NPI number?

The NPI number for Juan Cedillo Gutierrez is 1588417646. It was assigned to this individual provider in the NPPES registry on April 9, 2024. The provider is also known as Juan Carlos Cedillo.

Where is Juan Cedillo Gutierrez located?

Juan Cedillo Gutierrez practices at Academic Internal Medicine Clinic 5333 Mcauley Drive , Suite 4001, Ypsilanti, MI 48197. The listed phone number is (734) 712-3980.

What is Juan Cedillo 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 Juan Cedillo Gutierrez enrolled in Medicare?

Yes. Juan Cedillo Gutierrez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Juan Cedillo Gutierrez was last updated on June 26, 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.