BANNER -- UNIVERSITY PRIMARY CARE PHYSICIANS LLC
NPI 1154791960
Clinic/Center - Primary Care in Payson, AZ

Active since October 06, 2015CLIA Certified · 3 labs
807 S PONDEROSA ST, PAYSON, AZ 85541(928) 471-3222 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 13, 2026, Sep 13, 2024, Jul 26, 2024 and 2 more (5 updates tracked since 2021).

About Banner -- University Primary Care Physicians Llc NPPES

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

BANNER -- UNIVERSITY PRIMARY CARE PHYSICIANS LLC (NPI 1154791960) is a healthcare organization registered as a primary care in Payson, Arizona and active in the NPI registry since October 2015. The organization holds 3 active CLIA laboratory certificates, maintains 4 additional practice locations, and lists Benjamin Schwartz, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154791960
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBANNER -- UNIVERSITY PRIMARY CARE PHYSICIANS LLC
Location Address807 S PONDEROSA STPayson, AZ 85541-5542
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702 · (602) 747-4000
Organization SubpartYesParent: Banner University Medical Group
Authorized OfficialBenjamin SchwartzCeo · (602) 747-4000
Enumeration DateOctober 6, 2015
Last NPPES UpdateApril 13, 20265 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1154791960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
807 S PONDEROSA ST, Payson, AZ 85541

Secondary Practice Locations 4

Location 14200 E Camelback Rd Ste 202Phoenix, AZ 85018-2718 · Phone (602) 229-2200
Location 21300 N 12th St Ste 500Phoenix, AZ 85006-2849 · Phone (602) 839-4567
Location 31300 N 12th St Ste 605&608Phoenix, AZ 85006-2848 · Phone (602) 839-4567
Location 41300 N 12th St Ste 508Phoenix, AZ 85006-2849 · Phone (602) 839-3927

Other Identifiers 1

Medicaid086588AZ

Accepted Insurance

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 -- University Primary Care Physicians Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

66

Medicare enrollment records show 66 clinicians reassign Medicare billing to Banner -- University Primary Care Physicians LLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Internal Medicine30
Family Practice27
Registered Dietitian or Nutrition Professional2
Clinical Psychologist1
Emergency Medicine1
Hospice/Palliative Care1
Hospitalist1
Nurse Practitioner1
2 other specialties2

Nearest to this location (20)

See all 66
Family Practice
NPI 1467664607
14830 N 113TH PL
Scottsdale, AZ 85255
(202) 805-7429
✔ PECOS✔ Accepts Medicare51 mi
Clinical Psychologist
NPI 1174758254
2665 W WAYNE LN
Anthem, AZ 85086
(623) 399-7935
✔ PECOS✔ Accepts Medicare52 mi
Registered Dietitian or Nutrition Professional
NPI 1003460916
2214 E BLANCHE DR
Phoenix, AZ 85022
(520) 425-9698
59 mi
Internal Medicine
NPI 1851970297
6644 E BAYWOOD AVE
Mesa, AZ 85206
(480) 321-2000
✔ PECOS✔ Accepts Medicare60 mi
Internal Medicine
NPI 1184287161
5151 E BROADWAY RD STE 107
Mesa, AZ 85206
(480) 290-7000
✔ PECOS61 mi
Internal Medicine
NPI 1023063450
250 E DUNLAP AVE
Phoenix, AZ 85020
(602) 445-0751
✔ PECOS✔ Accepts Medicare63 mi
Family Practice
NPI 1134613888
4200 E CAMELBACK RD STE 202
Phoenix, AZ 85018
(602) 229-2200
✔ PECOS✔ Accepts Medicare63 mi
Internal Medicine
NPI 1609158799
4200 E CAMELBACK RD STE 202
Phoenix, AZ 85018
(602) 229-2200
✔ PECOS✔ Accepts Medicare63 mi
Hospitalist
NPI 1720585805
1919 E THOMAS RD
Phoenix, AZ 85016
(602) 933-0777
✔ PECOS✔ Accepts Medicare66 mi
Pediatric Medicine
NPI 1932528056
1919 E THOMAS RD
Phoenix, AZ 85016
(602) 933-0945
✔ PECOS✔ Accepts Medicare66 mi
Internal Medicine
NPI 1679754592
1459 S HIGLEY RD SUITE 106
Gilbert, AZ 85296
(480) 543-6790
✔ PECOS✔ Accepts Medicare67 mi
Internal Medicine
NPI 1396440566
400 N 32ND ST
Phoenix, AZ 85008
(602) 839-3927
✔ PECOS67 mi
Hospice/Palliative Care
NPI 1538788781
1111 E MCDOWELL RD
Phoenix, AZ 85006
(602) 839-2000
✔ PECOS✔ Accepts Medicare68 mi
Family Practice
NPI 1225610348
1111 E MCDOWELL RD
Phoenix, AZ 85006
(602) 839-2000
✔ PECOS✔ Accepts Medicare68 mi
Family Practice
NPI 1336335017
2927 N 7TH AVE
Phoenix, AZ 85013
(602) 406-3153
✔ PECOS✔ Accepts Medicare68 mi
Family Practice
NPI 1558708792
1300 N 12TH ST SUITE 605
Phoenix, AZ 85006
(602) 839-2668
✔ PECOS✔ Accepts Medicare68 mi
Registered Dietitian or Nutrition Professional
NPI 1669441408
1300 N 12TH ST SUITE 610
Phoenix, AZ 85006
(602) 239-5000
✔ Accepts Medicare68 mi
Sports Medicine
NPI 1306343611
1300 N 12TH ST STE 605
Phoenix, AZ 85006
(602) 839-4567
✔ PECOS✔ Accepts Medicare68 mi
Nurse Practitioner
NPI 1598536781
1300 N 12TH ST STE 508
Phoenix, AZ 85006
(602) 839-3927
✔ PECOS✔ Accepts Medicare68 mi
Emergency Medicine
NPI 1558322297
4545 E CHANDLER BLVD SUITE 104
Phoenix, AZ 85048
(480) 728-4400
✔ PECOS✔ Accepts Medicare74 mi
See all 66 clinicians

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

CLIA Laboratory Certificates CMS CLIA 3

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 03D0957416

Banner - University Primary Care Physicians LLC · Phoenix, AZ
Active · expires Oct 8, 2028
CLIA Number03D0957416
Laboratory TypePhysician Office
Certificate Effective DateOctober 9, 2026
Certificate Expiration DateOctober 8, 2028
Laboratory DirectorHarvey Hsu
Laboratory Phone(602) 839-3927
Laboratory LocationBanner - University Primary Care Physicians LLC1300 N 12th St Ste 508, Phoenix, AZ 85006
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 03D2303550

Banner - University Primary Care Physicians LLC · Phoenix, AZ
Active · expires Apr 25, 2028
CLIA Number03D2303550
Laboratory TypePhysician Office
Certificate Effective DateApril 26, 2026
Certificate Expiration DateApril 25, 2028
Laboratory DirectorJenna Buchanan
Laboratory Phone(602) 839-4567
Laboratory LocationBanner - University Primary Care Physicians LLC1300 N 12th St Ste 500, Phoenix, AZ 85006
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 03D0944984

Banner - University Primary Care Physicians LLC · Phoenix, AZ
Active · expires Apr 22, 2028
CLIA Number03D0944984
Laboratory TypePhysician Office
Certificate Effective DateApril 23, 2026
Certificate Expiration DateApril 22, 2028
Laboratory DirectorJenna Buchanan
Laboratory Phone(602) 839-2673
Laboratory LocationBanner - University Primary Care Physicians LLC1300 N 12th St Ste 605, Phoenix, AZ 85006
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 -- University Primary Care Physicians LLC's NPI number?

The NPI number for Banner -- University Primary Care Physicians LLC is 1154791960. It was assigned to this organization in the NPPES registry on October 6, 2015.

Where is Banner -- University Primary Care Physicians LLC located?

Banner -- University Primary Care Physicians LLC is located at 807 S Ponderosa St, Payson, AZ 85541. The listed phone number is (928) 471-3222.

What is Banner -- University Primary Care Physicians LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Banner -- University Primary Care Physicians LLC enrolled in Medicare?

Yes. Banner -- University Primary Care Physicians LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Banner -- University Primary Care Physicians LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 66 clinicians in 10 Medicare specialties reassign their Medicare billing to Banner -- University Primary Care Physicians 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 Internal Medicine (30), Family Practice (27) and Registered Dietitian or Nutrition Professional (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Banner -- University Primary Care Physicians LLC hold CLIA laboratory certificates?

Yes. 3 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 -- University Primary Care Physicians LLC accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Banner -- University Primary Care Physicians 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 -- University Primary Care Physicians LLC was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.