CAMILO E GUTIERREZ M.D.
NPI 1982885570
Pediatrics - Pediatric Emergency Medicine in Boston, MA

Active since November 25, 2007PECOS EnrolledAccepts Medicare Assignment
840 HARRISON AVE, MENINO 1, BOSTON, MA 02118(617) 414-4991(617) 414-4999 Get Directions Write a Review

NPPES record last updated: July 22, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Camilo E Gutierrez M.d. NPPES

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

CAMILO E GUTIERREZ M.D. (NPI 1982885570) is an individual pediatric emergency medicine provider in Boston, Massachusetts, licensed in Massachusetts (234599) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1982885570
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameCAMILO E GUTIERREZCredential: M.D.
Location Address840 HARRISON AVE, MENINO 1Boston, MA 02118-2905
Mailing Address720 Harrison Ave, Dob 503Boston, MA 02118-2371
Fax(617) 414-4999
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateNovember 25, 2007
Last NPPES UpdateJuly 22, 2014
NPI 1982885570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License Licensed in MA · 234599
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 234599 (MA)
840 HARRISON AVE, Boston, MA 02118

Other Identifiers 2

Medicare PIN002292801MA
Medicaid110079915AMA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Camilo E 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.

PECOS PAC ID4587703905
PECOS Enrollment IDI20190603002083
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.

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.

Physician Assistant
840 HARRISON AVE, MENINO BUILDING
BOSTON, MA 02118
Pediatrics
840 HARRISON AVE, MENINO 1
BOSTON, MA 02118
Radiology (Vascular & Interventional Radiology)
840 HARRISON AVE
BOSTON, MA 02118
Student in an Organized Health Care Education/Training Program
840 HARRISON AVE
BOSTON, MA 02118
Radiology (Diagnostic Radiology)
840 HARRISON AVE
BOSTON, MA 02118
Radiology (Diagnostic Radiology)
840 HARRISON AVE
BOSTON, MA 02118
Nurse Practitioner (Acute Care)
840 HARRISON AVE, MENINO BUILDING
BOSTON, MA 02118
Radiology (Diagnostic Radiology)
840 HARRISON AVE
BOSTON, MA 02118

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 Camilo Gutierrez's NPI number?

The NPI number for Camilo Gutierrez is 1982885570. It was assigned to this individual provider in the NPPES registry on November 25, 2007.

Where is Camilo Gutierrez located?

Camilo Gutierrez practices at 840 Harrison Ave Menino 1, Boston, MA 02118. The listed phone number is (617) 414-4991.

What is Camilo Gutierrez's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Camilo Gutierrez enrolled in Medicare?

Yes. Camilo 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.

When was this NPI record last updated?

The NPPES record for Camilo Gutierrez was last updated on July 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.