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BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
NPI 1033730429
Clinic/Center - Multi-Specialty in Phoenix, AZ

Active since April 27, 2020
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012(602) 747-4000 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 3, 2024, Dec 29, 2021 (2 updates tracked since 2021).

About Banner Physician Specialists Arizona Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BANNER PHYSICIAN SPECIALISTS ARIZONA LLC (NPI 1033730429) is a healthcare organization registered as a multi-specialty in Phoenix, Arizona and active in the NPI registry since April 2020. The organization maintains a secondary practice location in Page and lists Shiva Birdi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033730429
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBANNER PHYSICIAN SPECIALISTS ARIZONA LLC
Location Address2901 N CENTRAL AVE STE 160Phoenix, AZ 85012-2702
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702 · (602) 747-4000
Phone(602) 747-4000
Organization SubpartYesParent: Banner Medical Group
Authorized OfficialShiva BirdiCeo · (602) 747-4000
Enumeration DateApril 27, 2020
Last NPPES UpdateSeptember 3, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2024
✔ NPI 1033730429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2901 N CENTRAL AVE STE 160, Phoenix, AZ 85012
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Secondary Practice Location 1

Location 1501 N Navajo DrPage, AZ 86040-0959 · Phone (928) 645-2424

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Banner Physician Specialists Arizona Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

537

Medicare enrollment records show 537 clinicians reassign Medicare billing to Banner Physician Specialists Arizona LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 78 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 51

Nurse Practitioner93
Internal Medicine74
General Surgery57
Gastroenterology50
Orthopedic Surgery44
Psychiatry20
Diagnostic Radiology17
Cardiovascular Disease (Cardiology)13
43 other specialties169

Nearest to this location (20)

See all 537
Omar Nadhem, M.D.
Gastroenterology
NPI 1598022725
2901 NORTH CENTRAL AVENUE
Phoenix, AZ 85012
(918) 502-1900
✔ PECOS✔ Accepts MedicareSame address
Layth Al-Jashaami, M.D
Gastroenterology
NPI 1255691895
500 W THOMAS RD STE 100
Phoenix, AZ 85013
(602) 406-1510
✔ PECOS✔ Accepts Medicare0.4 mi
Lashandra Wilson-Cohen, APRN
Nurse Practitioner
NPI 1679236095
500 W THOMAS RD STE 100
Phoenix, AZ 85013
(602) 406-1510
✔ PECOS✔ Accepts Medicare0.4 mi
Matthew Gannon, MD
Internal Medicine
NPI 1285163246
500 W THOMAS RD STE 600
Phoenix, AZ 85013
(602) 406-4433
✔ PECOS✔ Accepts Medicare0.4 mi
Ian Crain, M.D.
Neurology
NPI 1447518006
350 W THOMAS RD
Phoenix, AZ 85013
(602) 406-3000
✔ PECOS✔ Accepts Medicare0.4 mi
Brenda Baker, NP-C
Nurse Practitioner
NPI 1376997130
500 W THOMAS RD STE 100
Phoenix, AZ 85013
(602) 406-1510
✔ PECOS✔ Accepts Medicare0.5 mi
Tomas Rivera-Bonilla, MD
Interventional Cardiology
NPI 1881855294
340 E PALM LN STE A175
Phoenix, AZ 85004
(602) 386-1100
✔ PECOS✔ Accepts Medicare0.8 mi
Lisa Jarnagin
Internal Medicine
NPI 1902288327
755 E MCDOWELL RD
Phoenix, AZ 85006
(602) 521-3400
✔ PECOS✔ Accepts Medicare1.2 mi
Alan Wang, M.D.
Neurology
NPI 1417395799
755 E MCDOWELL RD FL 3
Phoenix, AZ 85006
(602) 521-3300
✔ PECOS✔ Accepts Medicare1.2 mi
Rafael Buerba Siller, M.D./M.H.S.
Orthopedic Surgery
NPI 1245658707
755 E MCDOWELL RD FL 2
Phoenix, AZ 85006
(602) 521-3250
✔ PECOS✔ Accepts Medicare1.2 mi
Mazen Zaher, DO
Neurosurgery
NPI 1447790761
755 E MCDOWELL RD FL 2
Phoenix, AZ 85006
(602) 521-3201
✔ PECOS✔ Accepts Medicare1.2 mi
Shane Daley, M.D.
Urology
NPI 1902883838
1313 E OSBORN RD STE 150
Phoenix, AZ 85014
(602) 264-4431
✔ PECOS✔ Accepts Medicare1.2 mi
Wes Arlein, MD
Vascular Surgery
NPI 1770529240
1010 E MCDOWELL RD STE 103
Phoenix, AZ 85006
(800) 991-6117
✔ PECOS✔ Accepts Medicare1.2 mi
Emily Lash, FNP-BC
Nurse Practitioner
NPI 1578755450
925 EAST MCDOWELL RD
Phoenix, AZ 85006
(916) 734-2011
✔ PECOS✔ Accepts Medicare1.3 mi
Vanessa Miller, M.D.
General Surgery
NPI 1811157530
925 E MCDOWELL RD
Phoenix, AZ 85006
(602) 239-2282
✔ PECOS✔ Accepts Medicare1.3 mi
Howard Baxter, MD
Diagnostic Radiology
NPI 1053367938
1111 E MCDOWELL RD
Phoenix, AZ 85006
(602) 239-4601
✔ PECOS✔ Accepts Medicare1.3 mi
Anantharam Kalya, MD
Cardiovascular Disease (Cardiology)
NPI 1831167238
1111 E MCDOWELL RD
Phoenix, AZ 85006
(602) 839-9300
✔ PECOS✔ Accepts Medicare1.4 mi
Matthew Steele, D.O.
General Practice
NPI 1407218860
1320 N 10TH ST STE B
Phoenix, AZ 85006
(602) 839-7285
✔ PECOS✔ Accepts Medicare1.4 mi
Gamal Sidarous, MD
Nuclear Medicine
NPI 1699731802
1111 E MCDOWELL RD
Phoenix, AZ 85006
(602) 239-4601
✔ PECOS✔ Accepts Medicare1.4 mi
Elizabeth Mcqueary, OTR/L
Occupational Therapist in Private Practice
NPI 1568702728
1320 N 10TH ST SUITE B
Phoenix, AZ 85006
(602) 839-7285
✔ Accepts Medicare1.4 mi
See all 537 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Banner Physician Specialists Arizona LLC's NPI number?

The NPI number for Banner Physician Specialists Arizona LLC is 1033730429. It was assigned to this organization in the NPPES registry on April 27, 2020.

Where is Banner Physician Specialists Arizona LLC located?

Banner Physician Specialists Arizona LLC is located at 2901 N Central Ave Ste 160, Phoenix, AZ 85012. The listed phone number is (602) 747-4000.

What is Banner Physician Specialists Arizona LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Banner Physician Specialists Arizona LLC enrolled in Medicare?

Yes. Banner Physician Specialists Arizona LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Banner Physician Specialists Arizona LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 537 clinicians in 51 Medicare specialties reassign their Medicare billing to Banner Physician Specialists Arizona LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (93), Internal Medicine (74) and General Surgery (57). Of these, 1 practice at this address and 78 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Banner Physician Specialists Arizona LLC was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.