Individual provider Active NPI

Maria Lubitza Prodanovic-Nutis, MD

  • Pediatrics Physician
  • El Paso, TX
National Provider Identifier
1194930966
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M3700 Issued in TX
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

Updated by the provider on Aug 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160505000651 TX Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 8325119845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.