Ilitch Diaz Gutierrez, MD - Medicare Thoracic Surgery in Maplewood, MN

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Ilitch Diaz Gutierrez, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Maplewood, Minnesota. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Fairview Express Care, University Of Minnesota Health Clinics And Surgery Center Inc and his current practice location is 1655 Beam Ave Ste 302, Maplewood, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 227-6351.

Ilitch Diaz Gutierrez is licensed to practice in Minnesota (license number 63088) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629209366.

Contact Information

Ilitch Diaz Gutierrez, MD
1655 Beam Ave Ste 302,
Maplewood, MN 55109-1477
(651) 227-6351
Not Available

Map and Direction




Physician's Profile

Full NameIlitch Diaz Gutierrez
GenderMale
SpecialityThoracic Surgery
Experience17 Years
Location1655 Beam Ave Ste 302, Maplewood, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ilitch Diaz Gutierrez graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1629209366
  • Provider Enumeration Date: 07/29/2009
  • Last Update Date: 08/30/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7911132105
  • Enrollment ID: I20180522002742

Medical Identifiers

Medical identifiers for Ilitch Diaz Gutierrez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629209366NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery RS2009-0378 (New Mexico)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 63088 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Minnesota Medical Center, FairviewMinneapolis, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Express Care33756451791523
University Of Minnesota Health Clinics And Surgery Center Inc9133423304492

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. Ilitch Diaz Gutierrez allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Minnesota Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477598118
PECOS PAC ID: 9830001189
Enrollment ID: O20031104000532
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516
Entity NameRange Regional Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669569265
PECOS PAC ID: 8022920024
Enrollment ID: O20031110000095
Entity NameHealtheast Medical Research Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639125503
PECOS PAC ID: 3971407636
Enrollment ID: O20031124000507
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548
Entity NameUniversity Of Minnesota Health Clinics And Surgery Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053795187
PECOS PAC ID: 9133423304
Enrollment ID: O20160209000524

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. Ilitch Diaz 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
Ilitch Diaz Gutierrez, MD
3144 Chowen Ave S, Apt 219b,
Minneapolis, MN 55416-5398

Ph: (505) 818-7180		Ilitch Diaz Gutierrez, MD
1655 Beam Ave Ste 302,
Maplewood, MN 55109-1477

Ph: (651) 227-6351

Reviews and Comments


Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Maplewood, MN


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.