Dr Nicholas Mark Gutierrez, MD - Medicare Radiology in Miami, FL

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Dr Nicholas Mark Gutierrez, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Miami, Florida. His current practice location is 1611 Nw 12th Ave, Miami, Florida. You can reach out to his office (for appointments etc.) via phone at (305) 585-7878.

Dr Nicholas Mark Gutierrez is licensed to practice in Florida (license number ME125720) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457643033.

Contact Information

Dr Nicholas Mark Gutierrez, MD
1611 Nw 12th Ave,
Miami, FL 33136-1005
(305) 585-7878
Not Available

Map and Direction




Physician's Profile

Full NameDr Nicholas Mark Gutierrez
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location1611 Nw 12th Ave, Miami, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457643033
  • Provider Enumeration Date: 05/13/2011
  • Last Update Date: 12/04/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 5294020939
  • Enrollment ID: I20180109000897

Medical Identifiers

Medical identifiers for Dr Nicholas Mark Gutierrez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457643033NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology ME125720 (Florida)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2085R0202XRadiology - Diagnostic Radiology 125720 (Florida)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Nicholas Mark Gutierrez allows following entities to bill medicare on his behalf.
Entity NameQmg, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790079309
PECOS PAC ID: 2961590435
Enrollment ID: O20120710000101
Entity NameDiversity Mri Llc
Entity TypePart B Supplier - Independent Diagnostic Testing Facility (idtf)
Entity IdentifiersNPI Number: 1346746179
PECOS PAC ID: 6901262534
Enrollment ID: O20230523003118

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nicholas Mark Gutierrez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Nicholas Mark Gutierrez, MD
1611 Nw 12th Ave,
Miami, FL 33136-1005

Ph: (305) 585-7878		Dr Nicholas Mark Gutierrez, MD
1611 Nw 12th Ave,
Miami, FL 33136-1005

Ph: (305) 585-7878

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.