BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
NPI 1073295036
Durable Medical Equipment & Medical Supplies in Glendale, AZ

Active since August 01, 2023CLIA 03D2216778 · Waiver
7701 W ASPERA BLVD STE 101 201 301, GLENDALE, AZ 85308(623) 248-2100 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 1073295036) is a healthcare organization registered as a durable medical equipment & medical supplies in Glendale, Arizona and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through March 15, 2027 and lists Shiva Birdi, Vp Bmg, as its authorized official.

NPPES Registry Identity

NPI1073295036
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameBANNER PHYSICIAN SPECIALISTS ARIZONA LLC
Location Address7701 W ASPERA BLVD STE 101 201 301Glendale, AZ 85308-7935
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Organization SubpartYesParent: Banner Health
Authorized OfficialShiva BirdiVp Bmg · (602) 747-4000
Enumeration DateAugust 1, 2023
NPPES CertifiedAugust 1, 2023
NPI 1073295036 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.
7701 W ASPERA BLVD STE 101 201 301, Glendale, AZ 85308

Accepted 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 03D2216778

Banner Physician Specialists Arizona LLC · Glendale, AZ
Active · expires Mar 15, 2027
CLIA Number03D2216778
Laboratory TypeCommunity Clinic
Certificate Effective DateMarch 16, 2025
Certificate Expiration DateMarch 15, 2027
Laboratory DirectorMichelle Ballecer
Laboratory Phone(623) 248-2100
Laboratory LocationBanner Physician Specialists Arizona LLC7701 W Aspera Blvd Ste 102, 201, 301, Glendale, AZ 85308
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Banner Physician Specialists Arizon carries, from the Medicare DMEPOS supplier directory.

Banner Physician Specialists Arizon

DMEPOS supplier · Glendale, AZOperated by Banner Physician Specialists Arizona LLC

Accepts Medicare assignment

Banner Physician Specialists Arizon agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20526581
Medicare Participant SinceNovember 1, 2011
Supplier Location7701 W Aspera Blvd Ste 102Glendale, AZ 85308
Provider TypeMulti-Specialty - Physician
Supplier Specialties
Orthotic Personnel

Medicare Product Categories

Heat & Cold Applications
Heat therapy, Cold therapy, Heating pads
Osteogenesis Stimulators
Non-spinal electrical osteogenesis stimulators, Spinal electrical osteogenesis stimulators, Ultrasonic osteogenesis stimulators
Pneumatic Compression Devices and/or Supplies
Pnuematic compressor, Arm pneumatic appliance, Leg pneumatic appliance
(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies
Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Walkers
Standard Walkers, Wheeled Walkers, Folding Walker
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 1073295036. It was assigned to this organization in the NPPES registry on August 1, 2023.

Where is Banner Physician Specialists Arizona LLC located?

Banner Physician Specialists Arizona LLC is located at 7701 W Aspera Blvd Ste 101 201 301, Glendale, AZ 85308. The listed phone number is (623) 248-2100.

What is Banner Physician Specialists Arizona LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Banner Physician Specialists Arizona LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Banner Physician Specialists Arizon accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Banner Physician Specialists Arizona LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2216778) is associated with this NPI, valid through March 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Banner Physician Specialists Arizona LLC accept?

Health plans from Ambetter from Arizona Complete Health list Banner Physician Specialists Arizona LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Banner Physician Specialists Arizona LLC was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.