BANNER CONCIERGE SERVICES ARCADIA LLC
NPI 1164110201
Internal Medicine in Phoenix, AZ

Active since April 26, 2023CLIA 03D2284049 · Waiver
4200 E CAMELBACK RD STE 102, PHOENIX, AZ 85018(602) 229-2128(602) 744-6348 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Banner Concierge Services Arcadia Llc NPPES

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

BANNER CONCIERGE SERVICES ARCADIA LLC (NPI 1164110201) is a healthcare organization registered as an internal medicine in Phoenix, Arizona and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through June 14, 2027 and lists Todd Werner, President, Care Delivery, as its authorized official.

NPPES Registry Identity

NPI1164110201
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBANNER CONCIERGE SERVICES ARCADIA LLC
Location Address4200 E CAMELBACK RD STE 102Phoenix, AZ 85018-2718
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702 · (602) 747-4000
Fax(602) 744-6348
Organization SubpartYesParent: Banner Health
Authorized OfficialTodd WernerPresident, Care Delivery · (602) 747-4000
Enumeration DateApril 26, 2023
Last NPPES UpdateMarch 6, 2025
NPPES CertifiedMarch 6, 2025
✔ NPI 1164110201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
4200 E CAMELBACK RD STE 102, Phoenix, AZ 85018

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Concierge Services Arcadia Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Banner Concierge Services Arcadia LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Internal Medicine
NPI 1609158799
4200 E CAMELBACK RD STE 202
Phoenix, AZ 85018
(602) 229-2200
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1144318700
2927 N 7TH AVE
Phoenix, AZ 85013
(602) 406-3153
✔ PECOS✔ Accepts Medicare5.8 mi
Family Practice
NPI 1518221589
4375 E IRMA LN
Phoenix, AZ 85050
(602) 550-6489
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1023098662
1500 S MAIN ST
Fort Worth, TX 76104
(817) 702-1200
✔ PECOS851 mi

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

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 03D2284049

Banner Concierge Services Arcadia LLC · Phoenix, AZ
Active · expires Jun 14, 2027
CLIA Number03D2284049
Laboratory TypePhysician Office
Certificate Effective DateJune 15, 2025
Certificate Expiration DateJune 14, 2027
Laboratory DirectorJanna Assar
Laboratory Phone(602) 229-2128
Laboratory LocationBanner Concierge Services Arcadia LLC4200 E Camelback Rd Ste 102, Phoenix, AZ 85018
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 Concierge Services Arcadia LLC's NPI number?

The NPI number for Banner Concierge Services Arcadia LLC is 1164110201. It was assigned to this organization in the NPPES registry on April 26, 2023.

Where is Banner Concierge Services Arcadia LLC located?

Banner Concierge Services Arcadia LLC is located at 4200 E Camelback Rd Ste 102, Phoenix, AZ 85018. The listed phone number is (602) 229-2128.

What is Banner Concierge Services Arcadia LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Banner Concierge Services Arcadia LLC enrolled in Medicare?

Yes. Banner Concierge Services Arcadia LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Banner Concierge Services Arcadia LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Banner Concierge Services Arcadia 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 Family Practice (3) and Internal Medicine (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Banner Concierge Services Arcadia LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2284049) is associated with this NPI, valid through June 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Banner Concierge Services Arcadia LLC was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.