Active NPI
Maria Lubitza Prodanovic-Nutis, MD
- Pediatrics Physician
- El Paso, TX
National Provider Identifier
1194930966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- M3700
- Practice address
- 3917 N Mesa St
El Paso, TX 79902-1501 - Phone
- (915) 544-5439
- Fax
- (915) 544-5445
- NPI assigned
- May 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | M3700 | TX | Primary |
Addresses
Primary practice location
3917 N Mesa St
El Paso, TX 79902-1501
Mailing address
3917 N Mesa St
El Paso, TX 79902-1501
Phone (915) 544-5439
Other names 1
- Dr. Maria Lubitza Prodanovic Nutis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160505000651 | TX | Order and Referring Only - Pediatric Medicine | 8325119845 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun City Kidz Clinic PA | Pediatrics | Past | Accepting new patients |
| Tenet Hospitals Limited | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- El Paso, TX
- NPI 1225266885
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1700801909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1194930966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3917 N MESA ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799021501",
"telephone_number": "915-544-5439",
"fax_number": "915-544-5445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3917 N MESA ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799021501",
"telephone_number": "915-544-5439",
"fax_number": "915-544-5445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRODANOVIC-NUTIS",
"first_name": "MARIA",
"middle_name": "LUBITZA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "M3700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "PRODANOVIC NUTIS",
"middle_name": "LUBITZA",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.