Individual provider Active NPI

Mario Nutis, M.D.

  • Obstetrics & Gynecology Physician
  • El Paso, TX
National Provider Identifier
1588714596
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L5854 Issued in TX
Practice address
1150 Burgundy Dr
El Paso, TX 79907-3462
Phone
(915) 228-2491
Fax
(915) 219-4890
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X L5854 TX Primary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 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 Ste 2A2B
El Paso, TX 79902-4672
Phone (915) 200-2676

Other identifiers 1

IdentifierTypeStateIssuer
197854603MedicaidTX

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
I20040806001090 TX Practitioner - Obstetrics/GynecologyPractitioner - Family Practice 6406828847 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umc El Paso Healthcare IncGroup PAC ID 5395156996, 38 clinicians

Practice addresses (Care Compare)

10410 Vista del Sol Dr
El Paso, TX 79925-7919
Phone (915) 532-9000

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L5854TXMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nutis Medical PLLC Obstetrics & Gynecology CurrentSince Mar 16, 2013 Accepting new patients
El Paso County Hospital District CurrentSince Jun 1, 2020 Accepting new patients
Umc El Paso Healthcare Inc Obstetrics & Gynecology CurrentSince Sep 1, 2022 Accepting new patients
El Paso County Hospital District CurrentSince Jun 1, 2020 Accepting new patients
Planned Parenthood Center of El Paso Obstetrics & Gynecology Past Accepting new patients
First Choice OBGYN Associates PA Past Accepting new patients
Planned Parenthood Center of El Paso Obstetrics & Gynecology Past Accepting new patients
El Paso Healthcare System LTD Past Accepting new patients

Locations

10201 Gateway Blvd W
Ste 330
El Paso, TX 79925
Phone (915) 201-2520

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

7826 Bois D Arc Dr
El Paso, TX 79925
Phone (915) 590-1980

1201 E Schuster Ave
Ste 2A
El Paso, TX 79902
Phone (915) 200-2676

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

4500 N Mesa St
El Paso, TX 79912
Phone (915) 532-9000

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

10410 Vista del Sol Dr
El Paso, TX 79925
Phone (915) 200-2680

10211 Alameda Ave
Socorro, TX 79927
Phone (915) 440-4400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJJACA/Endpoint/GJJACA
  • FHIR API: https://api.platform.athenahealth.com/24611/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1588714596",
    "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 Ste 2A2B",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799024672",
            "country_code": "US",
            "telephone_number": "915-200-2676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUTIS",
        "first_name": "MARIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L5854",
            "primary": true
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "TX",
            "license": "L5854",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197854603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.