BANNER PHYSICIAN SPECIALISTS ARIZONA LLC - NPI 1063260909 - Durable Medical Equipment & Medical Supplies in Chandler, AZ

Q: What is the provider's specialty?

The provider's specialty is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

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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 1063260909) is a healthcare organization registered as a durable medical equipment & medical supplies in Chandler, Arizona and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through February 29, 2028 and lists Shiva Birdi, Ceo/bmg, as its authorized official.

NPPES Registry Identity

NPI1063260909

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameBANNER PHYSICIAN SPECIALISTS ARIZONA LLC

Location Address1125 S ALMA SCHOOL RD STE 210Chandler, AZ 85286-2811

Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702 · (602) 747-4000

Phone(602) 747-4000

Organization SubpartYesParent: Banner Health

Authorized OfficialShiva BirdiCeo/bmg · (602) 747-4000

Enumeration DateMay 7, 2024

Last NPPES UpdateApril 15, 20263 updates tracked since enumeration

NPPES CertifiedApril 15, 2026

✔ NPI 1063260909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

1125 S ALMA SCHOOL RD STE 210, Chandler, AZ 85286

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2109708

Banner Physician Specialists Arizona LLC · Chandler, AZ

Active · expires Feb 29, 2028

CLIA Number03D2109708

Laboratory TypePhysician Office

Certificate Effective DateMarch 1, 2026

Certificate Expiration DateFebruary 29, 2028

Laboratory DirectorVivek R. Kesara

Laboratory Phone(480) 668-1670

Laboratory LocationBanner Physician Specialists Arizona LLC1435 S Alma School Rd, Chandler, AZ 85286

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JUSTIN ADAM HORWITZ D.O.

Internal Medicine (Gastroenterology)