Individual provider Active NPI

Damaso Soliman Bueno Jr., M.D.

  • Nephrology Physician
  • Goodyear, AZ
National Provider Identifier
1336143759
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
28044 Issued in AZ
Practice address
13657 W McDowell Rd Ste 210
Goodyear, AZ 85395
Phone
(623) 536-1185
Fax
(623) 536-1091
NPI assigned
Jun 13, 2005
Last updated
Jun 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 28044 AZ Primary

Addresses

Primary practice location

13657 W McDowell Rd Ste 210
Goodyear, AZ 85395

Mailing address

6622 N 91St Ave
Ste 220
Glendale, AZ 85305-2569
Phone (602) 759-6883

Other identifiers 1

IdentifierTypeStateIssuer
523432MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050414001244 AZ Practitioner - Nephrology 4789621293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Akdhc LLCGroup PAC ID 8123912136, 125 clinicians

Practice addresses (Care Compare)

6622 N 91St Ave
Suite 200
Glendale, AZ 85305-2569
Phone (623) 547-4668

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
67.68
Promoting interoperability
100
Improvement activities
40
Cost
76.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28044AZMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Akdhc, LLC Nephrology CurrentSince Jun 1, 2005 Accepting new patients
Akdhc, LLC Nephrology Current Accepting new patients
Akdhc Surgery Center, LLC Nephrology Current Accepting new patients
Akdhc, LLC Nephrology CurrentSince Jun 1, 2005 Accepting new patients
Akdhc Surgery Center, LLC Nephrology Past Accepting new patients
Akdhc, LLC Nephrology Past Accepting new patients
City of Hope Medical Group of Arizona LLC Internal Medicine PastSince Nov 1, 2008 Accepting new patients
A. Paul Kalanithi MD, PC Past Accepting new patients
Northwest Tucson Dialysis LLC Past Accepting new patients

Locations (25 of 87)

10750 W McDowell Rd
Ste F600
Avondale, AZ 85392
Phone (623) 547-4668

213 E Monroe Ave
Buckeye, AZ 85326
Phone (623) 233-1330

525 S Watson Rd
Ste 205
Buckeye, AZ 85326
Phone (623) 322-0323

1225 Hancock Rd
Ste 203
Bullhead City, AZ 86442
Phone (928) 763-1200

2771 Silver Creek Rd
Ste 100
Bullhead City, AZ 86442
Phone (928) 704-7011

1120 S Dobson Rd
Ste 115
Chandler, AZ 85286
Phone (480) 857-2381

451 S Calvary Way
Cottonwood, AZ 86326
Phone (928) 649-7997

100 E 5th St
Douglas, AZ 85607
Phone (520) 364-7659

1111 N F Ave
Douglas, AZ 85607
Phone (520) 364-6860

2201 N Vickey St
Ste 110
Flagstaff, AZ 86004
Phone (928) 213-9460

77 W Forest Ave
Ste 302
Flagstaff, AZ 86001
Phone (928) 213-9460

13620 N Saguaro Blvd
Ste 90
Fountain Hills, AZ 85268
Phone (480) 899-2199

16838 E Palisades Blvd
Bldg C
Fountain Hills, AZ 85268
Phone (480) 816-3131

1525 N Gilbert Rd
Ste 121
Gilbert, AZ 85234
Phone (480) 497-1127

18699 N 67th Ave
Ste 280
Glendale, AZ 85308
Phone (623) 240-4277

6622 N 91st Ave
Ste 200
Glendale, AZ 85305
Phone (623) 547-4668

6622 N 91st Ave
Ste 220
Glendale, AZ 85305
Phone (602) 759-6883

6740 S Kings Ranch Rd
Gold Canyon, AZ 85118

13657 W McDowell Rd
Ste 210
Goodyear, AZ 85395
Phone (623) 243-6538

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

400 W Camino Casa Verde
Green Valley, AZ 85614
Phone (520) 622-7706

1739 E Beverly Ave
Ste 107
Kingman, AZ 86409
Phone (928) 681-8565

2501 N Stockton Hill Rd
Ste 102
Kingman, AZ 86401
Phone (928) 681-2772

5448 Highway 260
Ste 270
Lakeside, AZ 85929
Phone (928) 537-1077

1851 Mesquite Ave
Ste 216
Lk Havasu Cty, AZ 86403
Phone (928) 854-5358

Interoperability endpoints

  • Direct secure messaging: damaso.bueno.1@11625.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3629/brand/1/csg/1/fhir/r4

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1336143759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6622 N 91ST AVE",
            "address_2": "STE 220",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853052569",
            "telephone_number": "602-759-6883",
            "fax_number": "602-224-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13657 W MCDOWELL RD STE 210",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85395",
            "telephone_number": "623-536-1185",
            "fax_number": "623-536-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUENO",
        "first_name": "DAMASO",
        "middle_name": "SOLIMAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "28044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "523432",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.