BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
NPI 1366799355
Clinic/Center - Multi-Specialty in Page, AZ
About Banner Physician Specialists Arizona Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC (NPI 1366799355) is a healthcare organization registered as a multi-specialty in Page, Arizona and active in the NPI registry since August 2012. The organization lists Dennis Laraway, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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 Physician Specialists Arizona Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
1,078Medicare enrollment records show 1,078 clinicians reassign Medicare billing to Banner Physician Specialists Arizona LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 32
Nearest to this location (20)
See all 1,078Flagstaff, AZ 86001
Scottsdale, AZ 85260
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 Physician Specialists Arizona LLC's NPI number?
The NPI number for Banner Physician Specialists Arizona LLC is 1366799355. It was assigned to this organization in the NPPES registry on August 8, 2012.
Where is Banner Physician Specialists Arizona LLC located?
Banner Physician Specialists Arizona LLC is located at 601 N Navajo, Page, AZ 86040. The listed phone number is (928) 645-0131.
What is Banner Physician Specialists Arizona LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Banner Physician Specialists Arizona LLC enrolled in Medicare?
Yes. Banner Physician Specialists Arizona LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Banner Physician Specialists 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 Physician Specialists 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, 1 practice at this address and 7 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 Physician Specialists Arizona LLC was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 Physician Specialists Arizona Llc · NPI 1366799355
Multi-Specialty organization in Page, Arizona. Organization record, active in the CMS NPPES registry since August 8, 2012.
## Identity
- **NPI:** 1366799355 (Entity type: Organization)
- **Enumerated:** August 8, 2012
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** Yes (part of Banner Medical Group Arizona)
- **Authorized official:** Dennis Laraway, CFO
## Practice location
- **Address:** 601 N NAVAJO, Page, AZ 86040
- **Phone:** (928) 645-0131 · **Fax:** (928) 645-3549
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1,078 clinicians in 32 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (409), Anesthesiology (141), Hospitalist (94); 1 practice at this address and 7 within 10 miles; [full list](https://npiprofile.com/npi/1366799355/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 29, 2021
- **Other identifiers:** Medicaid 646505 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1366799355) · Data from the CMS NPPES public registry.