ILITCH DIAZ GUTIERREZ M.D.
NPI 1629209366
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Maplewood, MN
About Ilitch Diaz Gutierrez M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ILITCH DIAZ GUTIERREZ M.D. (NPI 1629209366) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Maplewood, Minnesota, licensed in Minnesota (63088) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and maintains a secondary practice location in Minneapolis.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 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 and accepts Medicare assignment
Ilitch Diaz Gutierrez M.d. 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 Reassignments
8Medicare enrollment records show Ilitch Diaz Gutierrez reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Maplewood, MN 55109
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Maplewood, MN 55109
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Saint Paul, MN 55106
- Reassigned Medicare billing, Minnesota enrollment
- 2,302 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 1,662 clinicians in this Medicare group
Minneapolis, MN 55414
- Reassigned Medicare billing, Minnesota enrollment
- 1,453 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Hibbing, MN 55746
- Reassigned Medicare billing, Minnesota enrollment
- 707 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
M Health Fairview University Of Mn
Acute Care Hospitals · Minneapolis, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ilitch Diaz Gutierrez's NPI number?
The NPI number for Ilitch Diaz Gutierrez is 1629209366. It was assigned to this individual provider in the NPPES registry on July 29, 2009.
Where is Ilitch Diaz Gutierrez located?
Ilitch Diaz Gutierrez practices at 1655 Beam Ave Ste 302, Maplewood, MN 55109. The listed phone number is (651) 227-6351.
What is Ilitch Diaz Gutierrez's specialty?
The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
Is Ilitch Diaz Gutierrez enrolled in Medicare?
Yes. Ilitch Diaz 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 organizations bill Medicare for Ilitch Diaz Gutierrez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ilitch Diaz Gutierrez reassigns Medicare benefits to 8 organizations: Healtheast Medical Research Institute (Maplewood, MN), Fairview Express Care (Maplewood, MN), Fairview Clinics (Saint Paul, MN), Fairview Specialty Services (Saint Paul, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN) and 3 more organizations, listed in the Medicare section above. Each 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 Ilitch Diaz Gutierrez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ilitch Diaz Gutierrez accept?
Health plans from HealthPartners and Sanford Health Plan list Ilitch Diaz 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.
Is Ilitch Diaz Gutierrez affiliated with any hospitals?
According to CMS data, Ilitch Diaz Gutierrez is affiliated with M Health Fairview University Of Mn.
When was this NPI record last updated?
The NPPES record for Ilitch Diaz Gutierrez was last updated on August 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Ilitch Diaz Gutierrez, M.D. · NPI 1629209366
Thoracic Surgery (Cardiothoracic Vascular Surgery) physician in Maplewood, Minnesota. Individual provider, active in the CMS NPPES registry since July 29, 2009.
## Identity
- **NPI:** 1629209366 (Entity type: Individual)
- **Enumerated:** July 29, 2009
- **Primary specialty:** Thoracic Surgery (Cardiothoracic Vascular Surgery) · taxonomy 208G00000X
- **State license:** 63088 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1655 BEAM AVE STE 302, Maplewood, MN 55109-1477
- **Phone:** (651) 227-6351
## 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:** 8 organizations under Medicare reassignment (form CMS-855R): Healtheast Medical Research Institute (NPI 1164154316, Maplewood, MN); Fairview Express Care (NPI 1902311210, Maplewood, MN); Fairview Clinics (NPI 1124652557, Saint Paul, MN); Fairview Specialty Services (NPI 1912066218, Saint Paul, MN); University Of Minnesota Health Clinics And Surgery Center Inc (NPI 1003485004, Minneapolis, MN); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** August 30, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1629209366) · Data from the CMS NPPES public registry.