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BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
NPI 1275889891
Clinic/Center - Multi-Specialty in San Tan Valley, AZ

Active since August 01, 2012
37000 N GANTZEL RD, SAN TAN VALLEY, AZ 85140(480) 543-2034 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 15, 2026, Dec 23, 2021 (2 updates tracked since 2021).

About Banner Hospital Based Physicians Arizona Llc NPPES

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

BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC (NPI 1275889891) is a healthcare organization registered as a multi-specialty in San Tan Valley, Arizona and active in the NPI registry since August 2012. The organization maintains 3 additional practice locations and lists Shiva Birdi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1275889891
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
Location Address37000 N GANTZEL RDSan Tan Valley, AZ 85140-7303
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(480) 543-2034
Organization SubpartYesParent: Banner Medical Group
Authorized OfficialShiva BirdiCeo · (602) 747-4000
Enumeration DateAugust 1, 2012
Last NPPES UpdateApril 15, 20262 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1275889891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
37000 N GANTZEL RD, San Tan Valley, AZ 85140
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11800 E Florence BlvdCasa Grande, AZ 85122-5303 · Phone (520) 381-6300
Location 22050 W Southern AveApache Junction, AZ 85120-7305 · Phone (480) 733-3300
Location 3807 S Ponderosa StPayson, AZ 85541-5542 · Phone (928) 471-3222

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 Hospital Based Physicians Arizona Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,078

Medicare enrollment records show 1,078 clinicians reassign Medicare billing to Banner Hospital Based Physicians Arizona LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 32

Internal Medicine409
Anesthesiology141
Hospitalist94
Certified Registered Nurse Anesthetist (CRNA)72
Diagnostic Radiology63
Family Practice54
Nurse Practitioner45
Critical Care (Intensivists)36
24 other specialties164

Nearest to this location (20)

See all 1,078
Rahul Kumar, MD, MBBS
Internal Medicine
NPI 1497910186
37000 N GANTZEL RD
San Tan Valley, AZ 85140
(952) 892-2000
✔ PECOS✔ Accepts MedicareSame address
Nathan Linstrom, MD
Diagnostic Radiology
NPI 1689848590
37000 N GANTZEL RD
San Tan Valley, AZ 85140
(480) 394-4031
✔ PECOS✔ Accepts MedicareSame address
Yang Xuan, DO
Internal Medicine
NPI 1043668304
37000 N GANTZEL RD
San Tan Valley, AZ 85140
(480) 943-7124
✔ PECOS✔ Accepts MedicareSame address
John Ortiz, ACNP
Nurse Practitioner
NPI 1104253376
37000 N GANTZEL RD
San Tan Valley, AZ 85140
(480) 394-4000
✔ PECOS✔ Accepts MedicareSame address
Ghada Raban, MD
Internal Medicine
NPI 1336109529
37000 N GANTZEL RD
San Tan Valley, AZ 85140
(480) 394-4248
✔ PECOS✔ Accepts MedicareSame address
Collin Tibbitts, RN
Certified Registered Nurse Anesthetist (CRNA)
NPI 1720862634
41274 N CAMBRIA DR
San Tan Valley, AZ 85140
(801) 436-4517
✔ Accepts Medicare2.9 mi
Brandon Roberts, D.O.
Internal Medicine
NPI 1972864775
21772 S ELLSWORTH LOOP RD
Queen Creek, AZ 85142
(480) 512-3700
✔ PECOS✔ Accepts Medicare4.6 mi
Michael Vergason, D.O.
Family Practice
NPI 1942524673
21772 S ELLSWORTH LOOP RD
Queen Creek, AZ 85142
(480) 512-3700
✔ PECOS✔ Accepts Medicare4.6 mi
Breeane Wazney, MD
Pediatric Medicine
NPI 1538722822
21772 S ELLSWORTH LOOP RD
Queen Creek, AZ 85142
(480) 512-3700
✔ PECOS4.9 mi
Wei Kenney
Nurse Practitioner
NPI 1093432015
2479 E IRONSIDE DR
Gilbert, AZ 85298
(702) 401-0909
✔ PECOS✔ Accepts Medicare10 mi
Mary Cyr, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1922728419
3570 E HOPKINS RD
Gilbert, AZ 85295
(714) 342-4513
✔ Accepts Medicare10 mi
James Chien, M.D.
Anesthesiology
NPI 1457411704
2919 S ELLSWORTH RD
Mesa, AZ 85212
(480) 649-3111
✔ PECOS✔ Accepts Medicare11 mi
Jonathan Goit, DO
Family Practice
NPI 1083925721
1900 N HIGLEY ROAD ATTN: HOSPITALISTS
Gilbert, AZ 85234
(480) 543-2034
✔ PECOS✔ Accepts Medicare12 mi
Charles Kim, MD
Internal Medicine
NPI 1851314348
1900 N HIGLEY RD
Gilbert, AZ 85234
(480) 543-2034
✔ PECOS✔ Accepts Medicare12 mi
Jed Bayasi, MD
Critical Care (Intensivists)
NPI 1538207238
3491 S MERCY RD SUITE 103
Gilbert, AZ 85297
(480) 917-0933
✔ PECOS✔ Accepts Medicare12 mi
Nicholas Harrell, M.D.
Hospitalist
NPI 1467795617
1301 S CRISMON RD
Mesa, AZ 85209
(480) 358-6100
✔ PECOS✔ Accepts Medicare13 mi
Jodi Sciandra, PSY.D.
Clinical Psychologist
NPI 1487871034
1920 N HIGLEY RD SUITE 106
Gilbert, AZ 85234
(480) 543-2688
✔ PECOS✔ Accepts Medicare15 mi
David Podkameni, M.D.
General Surgery
NPI 1700967478
1920 N HIGLEY RD STE 308
Gilbert, AZ 85234
(480) 543-6600
✔ PECOS✔ Accepts Medicare15 mi
Jaspreet Bisla, M.D.
Diagnostic Radiology
NPI 1508141599
2946 E BANNER GATEWAY DR
Gilbert, AZ 85234
(480) 256-6444
✔ PECOS✔ Accepts Medicare15 mi
Sitaram Chilakamarry, MD
Surgical Oncology
NPI 1750722401
2946 E BANNER GATEWAY DR
Gilbert, AZ 85234
(480) 256-6444
✔ PECOS✔ Accepts Medicare15 mi
See all 1,078 clinicians

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

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 Hospital Based Physicians Arizona LLC's NPI number?

The NPI number for Banner Hospital Based Physicians Arizona LLC is 1275889891. It was assigned to this organization in the NPPES registry on August 1, 2012.

Where is Banner Hospital Based Physicians Arizona LLC located?

Banner Hospital Based Physicians Arizona LLC is located at 37000 N Gantzel Rd, San Tan Valley, AZ 85140. The listed phone number is (480) 543-2034.

What is Banner Hospital Based Physicians Arizona LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Banner Hospital Based Physicians Arizona LLC enrolled in Medicare?

Yes. Banner Hospital Based Physicians Arizona LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Banner Hospital Based Physicians Arizona LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,078 clinicians in 32 Medicare specialties reassign their Medicare billing to Banner Hospital Based Physicians Arizona 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 (409), Anesthesiology (141) and Hospitalist (94). Of these, 5 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Banner Hospital Based Physicians Arizona LLC was last updated on April 15, 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.