BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
NPI 1093083503
Durable Medical Equipment & Medical Supplies in Peoria, AZ

Active since December 12, 2011CLIA Certified · 2 labs
13640 N PLAZA DEL RIO BLVD, PEORIA, AZ 85381(623) 876-3800 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2026, Dec 27, 2021 (2 updates tracked since 2021).

About Banner Primary Care Physicians Arizona Llc NPPES

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

BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC (NPI 1093083503) is a healthcare organization registered as a durable medical equipment & medical supplies in Peoria, Arizona and active in the NPI registry since December 2011. The organization holds 2 active CLIA laboratory certificates and lists Shiva Birdi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093083503
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameBANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
Location Address13640 N PLAZA DEL RIO BLVDPeoria, AZ 85381-4846
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702 · (602) 747-4000
Organization SubpartYesParent: Banner Medical Group
Authorized OfficialShiva BirdiCeo · (602) 747-4000
Enumeration DateDecember 12, 2011
Last NPPES UpdateApril 15, 20262 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
NPI 1093083503 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.
13640 N PLAZA DEL RIO BLVD, Peoria, AZ 85381

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

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 03D2053694

Banner Primary Care Physicians Arizona LLC · Peoria, AZ
Active · expires Feb 4, 2027
CLIA Number03D2053694
Laboratory TypePhysician Office
Certificate Effective DateFebruary 5, 2025
Certificate Expiration DateFebruary 4, 2027
Laboratory DirectorChristina Biliack
Laboratory Phone(623) 876-3800
Laboratory LocationBanner Primary Care Physicians Arizona LLC13640 N Plaza Del Rio Blvd, Peoria, AZ 85381
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2021057

Banner Primary Care Physicians Arizona, LLC · Sun City West, AZ
Active · expires Jan 6, 2028
CLIA Number03D2021057
Laboratory TypePhysician Office
Certificate Effective DateJanuary 7, 2026
Certificate Expiration DateJanuary 6, 2028
Laboratory DirectorCandace Napier
Laboratory Phone(623) 876-3800
Laboratory LocationBanner Primary Care Physicians Arizona, LLC14416 W Meeker Blvd, Sun City West, AZ 85375
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
13640 N PLAZA DEL RIO BLVD
PEORIA, AZ 85381
Family Medicine
13640 N PLAZA DEL RIO BLVD, STE 210
PEORIA, AZ 85381
Nurse Practitioner (Psychiatric/Mental Health)
13640 N PLAZA DEL RIO BLVD
PEORIA, AZ 85381
Family Medicine (Geriatric Medicine)
13640 N PLAZA DEL RIO BLVD
PEORIA, AZ 85381
Nurse Practitioner (Family)
13640 N PLAZA DEL RIO BLVD, SUITE 350
PEORIA, AZ 85381
Psychiatry & Neurology (Psychiatry)
13640 N PLAZA DEL RIO BLVD
PEORIA, AZ 85381
Internal Medicine (Gastroenterology)
13640 N PLAZA DEL RIO BLVD
PEORIA, AZ 85381
Family Medicine
13640 N PLAZA DEL RIO BLVD, STE 350
PEORIA, AZ 85381

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 Primary Care Physicians Arizona LLC's NPI number?

The NPI number for Banner Primary Care Physicians Arizona LLC is 1093083503. It was assigned to this organization in the NPPES registry on December 12, 2011.

Where is Banner Primary Care Physicians Arizona LLC located?

Banner Primary Care Physicians Arizona LLC is located at 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381. The listed phone number is (623) 876-3800.

What is Banner Primary Care Physicians Arizona LLC's specialty?

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

Does Banner Primary Care Physicians Arizona LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Banner Primary Care Physicians Arizona LLC accept?

Health plans from Ambetter from Arizona Complete Health list Banner Primary Care Physicians 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 Primary Care Physicians Arizona LLC was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.