ANA M DOMINGUEZ RD
NPI 1326907759
Dietitian, Registered - Nutrition, Pediatric Critical Care in Mesa, AZ
About Ana M Dominguez Rd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANA M DOMINGUEZ RD (NPI 1326907759) is an individual nutrition, pediatric critical care provider in Mesa, Arizona, licensed in Arizona (858579) and active in the NPI registry since January 2026. She is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ana M Dominguez Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ana Dominguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mesa, AZ 85202
- Reassigned Medicare billing, Arizona enrollment
- 188 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MESA, AZ 85202
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ana Dominguez's NPI number?
The NPI number for Ana Dominguez is 1326907759. It was assigned to this individual provider in the NPPES registry on January 21, 2026.
Where is Ana Dominguez located?
Ana Dominguez practices at 1432 S Dobson Rd Ste 402, Mesa, AZ 85202. The listed phone number is (480) 412-5550.
What is Ana Dominguez's specialty?
The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Pediatric Critical Care, with taxonomy code 133VN1401X.
Is Ana Dominguez enrolled in Medicare?
Yes. Ana Dominguez is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ana Dominguez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ana Dominguez reassigns Medicare benefits to Banner Physician Super Specialists Arizona LLC (Mesa, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ana Dominguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ana Dominguez was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ana M Dominguez, RD · NPI 1326907759
Nutrition, Pediatric Critical Care provider in Mesa, Arizona. Individual provider, active in the CMS NPPES registry since January 21, 2026.
## Identity
- **NPI:** 1326907759 (Entity type: Individual)
- **Enumerated:** January 21, 2026
- **Primary specialty:** Dietitian, Registered - Nutrition, Pediatric Critical Care · taxonomy 133VN1401X
- **State license:** 858579 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 1432 S DOBSON RD STE 402, Mesa, AZ 85202-4777
- **Phone:** (480) 412-5550
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Banner Physician Super Specialists Arizona LLC (NPI 1790337665, Mesa, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** January 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1326907759) · Data from the CMS NPPES public registry.