BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
NPI 1194164681
Durable Medical Equipment & Medical Supplies in Goodyear, AZ
NPI Status: Active since June 18, 2013
Contact Information
9780 S ESTRELLA PKWY
GOODYEAR, AZ
ZIP 85338
Phone: (623) 474-8101
- Organization
- Durable Medical Equipment & Medical Supp...
- CLIA Number: 03D2057086
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-08-2027
About BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
This page provides the complete NPI Profile along with additional information for Banner Primary Care Physicians Arizona Llc, a provider established in Goodyear, Arizona operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1194164681 assigned on June 2013. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated April 2026. The authorized official of this NPI record is Shiva Birdi (Ceo)
- NPI
- 1194164681
- Provider Name
- BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
- Entity Type
- Organization
- Location Address
- 9780 S ESTRELLA PKWY GOODYEAR, AZ 85338
- Location Phone
- (623) 474-8101
- Mailing Address
- 2901 N CENTRAL AVE STE 160 PHOENIX, AZ 85012
- Mailing Phone
- (602) 747-4000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-18-2013
- Last Update Date
- 04-15-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- Taxonomy Description
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D2057086
- Facility Type
- Physician Office
- Certificate Effective Date
- April 09, 2025
- Certificate Expiration Date
- April 08, 2027
- Laboratory Director
- DR. JARRETT RILEY
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Banner Primary Care Physicians Arizona Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1194164681, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 69 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
GOODYEAR, AZ 85338
GOODYEAR, AZ 85338
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194164681, enumerated as an "organization" on June 18, 2013.
The provider is located at 9780 S ESTRELLA PKWY GOODYEAR, AZ 85338 and the phone number is (623) 474-8101.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
