BANNER GATEWAY MEDICAL CENTER
NPI 1104103555
Durable Medical Equipment & Medical Supplies in Gilbert, AZ

Active since November 14, 2011CLIA 03D1067228 · Accreditation
2946 E BANNER GATEWAY DRIVE, RM 2008, GILBERT, AZ 85234(480) 256-6444 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Banner Gateway Medical Center NPPES

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

BANNER GATEWAY MEDICAL CENTER (NPI 1104103555) is a healthcare organization registered as a durable medical equipment & medical supplies in Gilbert, Arizona and active in the NPI registry since November 2011. The organization holds an CLIA Accreditation certificate valid through May 14, 2028 and lists Darren E Mccollem, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104103555
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameBANNER GATEWAY MEDICAL CENTER
Location Address2946 E BANNER GATEWAY DRIVE, RM 2008Gilbert, AZ 85234
Mailing Address1441 N 12th StPhoenix, AZ 85006-2837
Organization SubpartYesParent: Banner Health
Authorized OfficialDarren E MccollemCeo · (602) 747-4000
Enumeration DateNovember 14, 2011
Last NPPES UpdateJune 13, 2025
NPPES CertifiedJune 13, 2025
NPI 1104103555 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.
2946 E BANNER GATEWAY DRIVE, Gilbert, AZ 85234

Other Names 1

Other NameBoutique Of Hope

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 Accreditation 03D1067228

Banner Gateway Medical Center · Gilbert, AZ
Active · expires May 14, 2028
CLIA Number03D1067228
Laboratory TypeHospital
Certificate Effective DateMay 15, 2026
Certificate Expiration DateMay 14, 2028
Laboratory DirectorDr. Bryce L. Dursteler
Laboratory Phone(480) 543-2071
Laboratory LocationBanner Gateway Medical Center1900 N Higley Road Rm 02313, Gilbert, AZ 85234
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Banner Gateway Medical Center - Bou carries, from the Medicare DMEPOS supplier directory.

Banner Gateway Medical Center - Bou

DMEPOS supplier · Gilbert, AZOperated by Banner Gateway Medical Center

Accepts Medicare assignment

Banner Gateway Medical Center - Bou 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)20564255
Medicare Participant SinceSeptember 18, 2007
Supplier Location2946 E Banner Gateway Dr Rm 2008Gilbert, AZ 85234
Supplier Specialties
Medical Supply Company Other

Medicare Product Categories

Breast Prostheses and/or Accessories
Prosthetic bra, Surgical bra
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 19

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

Obstetrics & Gynecology (Gynecologic Oncology)
2946 E BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Physician Assistant
2946 E BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2946 E BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Physician Assistant
2946 E BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Nurse Practitioner (Family)
2946 E BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Surgery
2946 E BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Physician Assistant
2946 E BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Nurse Practitioner
2946 E BANNER GATEWAY DRIVE
GILBERT, AZ 85234

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 Gateway Medical Center's NPI number?

The NPI number for Banner Gateway Medical Center is 1104103555. It was assigned to this organization in the NPPES registry on November 14, 2011. The provider is also known as Boutique of Hope.

Where is Banner Gateway Medical Center located?

Banner Gateway Medical Center is located at 2946 E Banner Gateway Drive Rm 2008, Gilbert, AZ 85234. The listed phone number is (480) 256-6444.

What is Banner Gateway Medical Center's specialty?

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

Does Banner Gateway Medical Center accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Banner Gateway Medical Center - Bou accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Banner Gateway Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 03D1067228) is associated with this NPI, valid through May 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Banner Gateway Medical Center accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Banner Gateway Medical Center 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 Gateway Medical Center was last updated on June 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.