INCLUSICARE MEDICAL
NPI 1811777568
Family Medicine in Phoenix, AZ

Active since October 02, 2023
700 W CAMPBELL AVE STE 15, PHOENIX, AZ 85013(623) 349-1392 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 4, 2024, Nov 15, 2023, Nov 2, 2023 and 1 more (4 updates tracked since 2023).

About Inclusicare Medical NPPES

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

INCLUSICARE MEDICAL (NPI 1811777568) is a healthcare organization registered as a family medicine in Phoenix, Arizona and active in the NPI registry since October 2023. The organization lists Luis Carlos Gutierrez, President/physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1811777568
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCARLOS GUTIERREZ PLLC
Location Address700 W CAMPBELL AVE STE 15Phoenix, AZ 85013-2691
Mailing Address700 W Campbell Ave Ste 15Phoenix, AZ 85013-2691
Organization SubpartNo
Authorized OfficialLuis Carlos GutierrezPresident/physician Assistant · (623) 873-1200
Enumeration DateOctober 2, 2023
Last NPPES UpdateApril 4, 20244 updates tracked since enumeration
NPPES CertifiedApril 4, 2024
✔ NPI 1811777568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
Also ListedClinic/CenterTaxonomy 261Q00000X
700 W CAMPBELL AVE STE 15, Phoenix, AZ 85013

Other Names 1

Doing Business AsInclusicare Medical

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Inclusicare Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Inclusicare Medical, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1275812901
916 DUNDEE RD
Dundee, FL 33838
(866) 234-8534
✔ PECOS✔ Accepts Medicare1,843 mi

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 Carlos Gutierrez PLLC's NPI number?

The NPI number for Carlos Gutierrez PLLC is 1811777568. It was assigned to this organization in the NPPES registry on October 2, 2023. The provider is doing business as Inclusicare Medical.

Where is Carlos Gutierrez PLLC located?

Carlos Gutierrez PLLC is located at 700 W Campbell Ave Ste 15, Phoenix, AZ 85013. The listed phone number is (623) 349-1392.

What is Carlos Gutierrez PLLC's specialty?

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

Is Carlos Gutierrez PLLC enrolled in Medicare?

Yes. Carlos Gutierrez PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Carlos Gutierrez PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Carlos Gutierrez PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Carlos Gutierrez PLLC was last updated on April 4, 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.