RENE S GUTIERREZ (M.D.) – Family Medicine Physician, NPI 1235134834

RENE S GUTIERREZ (M.D.) is a healthcare provider. based in Logansport, Indiana. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 01042516 (IN). The NPI Number for RENE S GUTIERREZ (M.D.) is 1235134834

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
RENE S GUTIERREZ (M.D.)
NPI
1235134834
Phone
(574) 722-9633
Address
3400 E MARKET ST
Enumeration Date
20 June 2005
Last Update Date
5 February 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5747229633
Graduation Year
1989 (37 years ago)
PAC ID
8921193624
Group Practice PAC ID
8123923281
Professional Enrollment ID
I20141117000689
Address ID
IN469472295LO3400XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,862 FAMILY PRACTICE in IN

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Provider Addresses for RENE S GUTIERREZ (M.D.)

  • 3400, East Market Street, Logansport, Cass County, Indiana, 46947, United States

    LOGANSPORT, IN 469472295

    Phone: (574) 722-9633

    Fax: (574) 722-5987

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2024-07-16 • Largest payer in this snapshot: Lilly USA, LLC ($20).

Total Amount

$38

General + Research + Ownership

Payments

2

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2007-09-26

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070926000629IFamily PracticeINTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46947)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123923281View full group profile
NameSpecialtyState
Qualified AudiologistIN
Nurse PractitionerIN
-IN
Hematology/Oncology, Infectious DiseaseIN
Nurse PractitionerIN
O B S T E T R I C S/ G Y N E C O L O G YIN
Family PracticeIN
O B S T E T R I C S/ G Y N E C O L O G YIN
Radiation OncologyTX
Internal MedicineIN

Reviews

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Frequently asked questions

How do I look up RENE S GUTIERREZ (M.D.) by NPI?
Use NPI 1235134834 when you need to reference RENE S GUTIERREZ (M.D.) in forms, claims, or directories.
Is RENE S GUTIERREZ (M.D.) active in the national directory?
RENE S GUTIERREZ (M.D.)'s public NPI profile is in an active state.
What kind of provider is RENE S GUTIERREZ (M.D.)?
The page reflects Family Medicine Physician for RENE S GUTIERREZ (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place RENE S GUTIERREZ (M.D.)?
The snapshot lists Logansport, Indiana for RENE S GUTIERREZ (M.D.); download NPPES for the complete set.
What if Logansport, Indiana seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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