Individual provider Active NPI

Damian Plues, RD, CDE

  • Registered Dietitian
  • Sacaton, AZ
National Provider Identifier
1639473143
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
964240 Issued in AZ
Practice address
483 W. Seed Farm Road
Sacaton, AZ 85147
Phone
(602) 271-7940
NPI assigned
Dec 28, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X 2011-0505 AZ
Registered Dietitian 133V00000X 964240 AZ Primary

Addresses

Primary practice location

483 W. Seed Farm Road
Sacaton, AZ 85147

Mailing address

15963 W Yavapai St
Goodyear, AZ 85338-9496
Phone (623) 217-6576

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251217002605 CA Practitioner - Registered Dietitian Or Nutrition Professional 1254563562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 W Martin Luther King Blvd
Suite 1000
Chattanooga, TN 37402-2560

California a Professional Corp
File 50978
Los Angeles, CA 90074-0978

Merit-based Incentive Payment System (MIPS)

Final score
84.12 of 100Reported as group
Quality
76.35
Promoting interoperability
99
Improvement activities
40
Cost
71.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
964240AZMDRegistered Dietitian
2011-0505AZMDHealth Educator

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrix Medical Group of California, a Professional Corporation CurrentSince Nov 1, 2025 Accepting new patients

Locations

File 50978
Los Angeles, CA 90074

475 Alberto Way
Ste 200
Los Gatos, CA 95032
Phone (408) 371-7111

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844

Organizations & group practices 1

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": "1293494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1639473143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15963 W YAVAPAI ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389496",
            "telephone_number": "623-217-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 W. SEED FARM ROAD",
            "city": "SACATON",
            "state": "AZ",
            "postal_code": "85147",
            "telephone_number": "602-271-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUES",
        "first_name": "DAMIAN",
        "credential": "RD, CDE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-28",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "AZ",
            "license": "2011-0505",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "964240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacaton, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.