MR. SALVADOR RODOLFO III GUTIERREZ (M.D.) – Family Medicine Physician, NPI 1164522769
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,041 FAMILY PRACTICE in IL
Provider Addresses for MR. SALVADOR RODOLFO III GUTIERREZ (M.D.)
2923 N California Ave Ste 200
Chicago, IL 606187702
Phone: (773) 463-3460
Type: Location
109, Poplar Court, Villas North, Northbrook, Wheeling Township, Cook County, Illinois, 60062, United States
NORTHBROOK, IL 600621035
Phone: (847) 564-4836
Type: Mailing
Logan Square Family Health Center, 2655, North Milwaukee Avenue, Logan Square, Chicago, Jefferson Township, Cook County, Illinois, 60647, United States
CHICAGO, IL 606471643
Phone: (773) 489-0133
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $22.
Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.
Last reported payment date: 2024-06-17 • Largest payer in this snapshot: Amgen Inc. ($22).
Total Amount
$22
General + Research + Ownership
Payments
1
Total payment records
General Amount
$22
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $22 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-06-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040630000864 | I | Family Practice | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 228 | 91 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 57 | 48 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 57 | 57 | $0 |
| 96160 | Administration and interpretation of patient-focused health risk assessment | 18 | 18 | $0 |
| G0008 | Administration of influenza virus vaccine | 15 | 15 | $0 |
Insurance plans in this area (ZIP 60618)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| Internal Medicine | IL | |
| Osteopathic Manipulative Medicine, Cardiac Surgery, Cardiovascular Disease (Cardiology), Internal Medicine, Peripheral Vascular Disease | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | IL | |
| Internal Medicine | IL | |
| Internal Medicine, Emergency Medicine | MI |
Reviews
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