Organization Active NPI

Nutis Medical PLLC

  • Obstetrics & Gynecology Physician
  • El Paso, TX
National Provider Identifier
1376883439
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
NUTIS MEDICAL PLLC
Practice address
1150 Burgundy Dr
El Paso, TX 79907-3462
Phone
(915) 228-2491
Fax
(915) 219-4890
NPI assigned
Feb 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Authorized official

Name
Mario Nutis, M.D.NPI 1588714596
Title
MD
Phone
(915) 727-7477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary
Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2088F0040X L5854 TX

Addresses

Primary practice location

1150 Burgundy Dr
El Paso, TX 79907-3462

Mailing address

1150 Burgundy Dr
El Paso, TX 79907-3462
Phone (915) 228-2491

Other practice location 1

1201 E Schuster Ave
El Paso, TX 79902-4672
Phone (915) 200-2676

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mn128231@th.epchd.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130712000106 TX Part B Supplier - Clinic/Group Practice 4880834902 Receives reassigned benefits from 1 practitioner
Practice locations: El Paso, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2059267Nutis Medical1150 Burgundy Dr Room 10, El Paso, TX 79907Certificate of waiverMay 20, 2027

National Provider Directory

National Provider Directory

Locations

1150 Burgundy Dr
El Paso, TX 79907
Phone (915) 228-2491

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1376883439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 BURGUNDY DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799073462",
            "telephone_number": "915-228-2491",
            "fax_number": "915-219-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 BURGUNDY DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799073462",
            "telephone_number": "915-228-2491",
            "fax_number": "915-219-4890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 E Schuster Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799024672",
            "country_code": "US",
            "telephone_number": "915-200-2676",
            "fax_number": "915-200-2677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NUTIS MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "NUTIS",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "915-727-7477",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2088F0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "TX",
            "license": "L5854",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mn128231@th.epchd.org",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1150 Burgundy Dr",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799073462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.