BANNER CHILDRENS BANNER HEALTH CLINIC LLC
NPI 1285278077
Clinic/Center - Primary Care in Phoenix, AZ
About Banner Childrens Banner Health Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BANNER CHILDRENS BANNER HEALTH CLINIC LLC (NPI 1285278077) is a healthcare organization registered as a primary care in Phoenix, Arizona and active in the NPI registry since November 2019. The organization maintains a secondary practice location in Payson and lists Shiva Birdi, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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 Childrens Banner Health Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
57Medicare enrollment records show 57 clinicians reassign Medicare billing to Banner Childrens Banner Health Clinic LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 57Source: 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 Childrens Banner Health Clinic LLC's NPI number?
The NPI number for Banner Childrens Banner Health Clinic LLC is 1285278077. It was assigned to this organization in the NPPES registry on November 5, 2019.
Where is Banner Childrens Banner Health Clinic LLC located?
Banner Childrens Banner Health Clinic LLC is located at 2901 N Central Ave Ste 160, Phoenix, AZ 85012. The listed phone number is (602) 747-4000.
What is Banner Childrens Banner Health Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Banner Childrens Banner Health Clinic LLC enrolled in Medicare?
Yes. Banner Childrens Banner Health Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Banner Childrens Banner Health Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 57 clinicians in 4 Medicare specialties reassign their Medicare billing to Banner Childrens Banner Health Clinic 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 Pediatric Medicine (46), Nurse Practitioner (7) and Family Practice (3). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Banner Childrens Banner Health Clinic LLC accept?
Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Banner Childrens Banner Health Clinic 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 Childrens Banner Health Clinic LLC was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Banner Childrens Banner Health Clinic Llc · NPI 1285278077
Primary Care organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since November 5, 2019.
## Identity
- **NPI:** 1285278077 (Entity type: Organization)
- **Enumerated:** November 5, 2019
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** Yes (part of Banner Health)
- **Authorized official:** Shiva Birdi, CEO
## Practice location
- **Address:** 2901 N CENTRAL AVE STE 160, Phoenix, AZ 85012-2702
- **Phone:** (602) 747-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 57 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Pediatric Medicine (46), Nurse Practitioner (7), Family Practice (3); 4 practice within 10 miles; [full list](https://npiprofile.com/npi/1285278077/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1285278077) · Data from the CMS NPPES public registry.