Doctor profile · Federal record
Dr. Ilitch Diaz Gutierrez, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (CMS: Thoracic Surgery) · Surgery Physician · Maplewood, MN
- NPI 1629209366
- Accepts Medicare
- MIPS 75.9 / 100 · 2023
- 19 yrs in practice
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1655 Beam Ave Ste 302
Maplewood, MN 551091477
(651) 227-6351 - Additional location
-
500 Harvard St Se
Minneapolis, MN 554550363
(612) 273-3000 - Mailing address
-
3144 Chowen Ave S, Apt 219B
Minneapolis, MN 554165398
Credentials & registration
- NPI registered
- July 2009 — 17 yrs on file
- Profile last updated
- August 30, 2018
- Year of graduation
- 2007 — 19 yrs since
- Specialty taxonomy
- 208G00000X — NUCC code
- State licenses (2)
- Minnesota #63088 · New Mexico #RS2009-0378
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1629209366. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
40
Distinct HCPCS
3
Medicare allowed
$5,298
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99205 |
New patient office or other outpatient visit, 60-74 minutes | 14 | 14 | $174 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 14 | 12 | $128 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 12 | 11 | $90 |
In context: peer comparison
Among 2 peers in this city , average services per provider: 17. This provider delivers 2.4× the peer median.Open Payments
Industry payments received
All-time total
$18
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ATRICURE, INC. | 1 | $17.57 |
By nature of payment
Frequently asked questions
What is Dr. Ilitch Diaz Gutierrez's medical specialty?
Dr. Ilitch Diaz Gutierrez practices Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Maplewood, MN.
Where does Dr. Ilitch Diaz Gutierrez practice?
Dr. Ilitch Diaz Gutierrez practices at 1655 Beam Ave Ste 302, Maplewood, MN 551091477. Office phone: 6512276351.
What is Dr. Ilitch Diaz Gutierrez's NPI?
Dr. Ilitch Diaz Gutierrez's National Provider Identifier (NPI) is 1629209366, issued by NPPES.
Does Dr. Ilitch Diaz Gutierrez accept Medicare assignment?
Yes. Dr. Ilitch Diaz Gutierrez accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Ilitch Diaz Gutierrez commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99205); Established patient office or other outpatient visit (HCPCS 99215); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.