Individual provider Active NPI

Dinorah Janet Nutis, M.D.

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1912934928
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L8460 Issued in TX
Practice address
1171 Larry Mahan Dr
El Paso, TX 79925-6509
Phone
(915) 532-1197
Fax
(915) 532-1198
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L8460 TX Primary

Addresses

Primary practice location

1171 Larry Mahan Dr
El Paso, TX 79925-6509

Mailing address

1171 Larry Mahan Dr
El Paso, TX 79925-6509
Phone (915) 532-1197

Other identifiers 2

IdentifierTypeStateIssuer
8H0704OtherTXBCBS OF TEXAS
161145101MedicaidTX

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
I20081201000480 TX Practitioner - Internal Medicine 5698836294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
El Paso Physical Therapy Specialists LLCGroup PAC ID 1355762774, 106 clinicians
El Paso Therapy Services, Inc.Group PAC ID 4587626106, 99 clinicians

Practice addresses (Care Compare)

1171 Larry Mahan Dr
El Paso, TX 79925-6509
Phone (915) 532-1197

6151 Dew Dr
Suite 300
El Paso, TX 79912-3912
Phone (915) 581-9606

Hospital & facility affiliations

  • Amorican Homehealth Services LLC Home health agency, El Paso, TX, CCN 747649
  • Sierra Medical Center Hospital, El Paso, TX, CCN 450668

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L8460TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Borderland Medica, P.a. Internal Medicine CurrentSince Jan 1, 2012 Accepting new patients
Rhonda Fleming, MD, PA PastSince Aug 1, 2010 Accepting new patients

Locations

1700 Curie Dr
Ste 4700
El Paso, TX 79902
Phone (915) 532-1197

1171 Larry Mahan Dr
El Paso, TX 79925
Phone (915) 532-1197

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1912934928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 LARRY MAHAN DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799256509",
            "telephone_number": "915-532-1197",
            "fax_number": "915-532-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 LARRY MAHAN DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799256509",
            "telephone_number": "915-532-1197",
            "fax_number": "915-532-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTIS",
        "first_name": "DINORAH",
        "middle_name": "JANET",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L8460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "8H0704",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161145101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.