BANNER CONCIERGE SERVICES ARCADIA LLC
NPI 1164110201
Internal Medicine in Phoenix, AZ
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
Specialties & Licenses 2
Group Practice 1
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
4Medicare 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)
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, AZFrequently 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.