Active NPI
Damian Plues, RD, CDE
- Registered Dietitian
- Sacaton, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 964240
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 100
- Quality
- 76.35
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 71.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 964240 | AZ | MD | Registered Dietitian |
| 2011-0505 | AZ | MD | Health Educator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obstetrix Medical Group of California, a Professional Corporation | Current | 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.
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- Campbell, CA
- NPI 1629175336
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.