BANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC
NPI 1386462810
Durable Medical Equipment & Medical Supplies in Mesa, AZ

Q: What is Banner Physician Super Specialists Arizona LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since October 02, 2024

1432 S DOBSON RD STE 304, MESA, AZ 85202(480) 412-7400 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Banner Physician Super Specialists Arizona Llc NPPES

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

BANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC (NPI 1386462810) is a healthcare organization registered as a durable medical equipment & medical supplies in Mesa, Arizona and active in the NPI registry since October 2024. The organization lists Shiva Birdi, Ceo Bmg, as its authorized official.

NPPES Registry Identity

NPI1386462810

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameBANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC

Location Address1432 S DOBSON RD STE 304Mesa, AZ 85202-4773

Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702 · (602) 747-4000

Phone(480) 412-7400

Organization SubpartYesParent: Banner Health

Authorized OfficialShiva BirdiCeo Bmg · (602) 747-4000

Enumeration DateOctober 2, 2024

Last NPPES UpdateOctober 30, 2024

NPPES CertifiedOctober 30, 2024

✔ NPI 1386462810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

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.

1432 S DOBSON RD STE 304, Mesa, AZ 85202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Oscar Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE MARIE MOORE

Physician Assistant (Surgical)

1432 S DOBSON RD STE 304
MESA, AZ 85202

Maricopa County (480) 412-7400

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 Super Specialists Arizona LLC's NPI number?

The NPI number for Banner Physician Super Specialists Arizona LLC is 1386462810. It was assigned to this organization in the NPPES registry on October 2, 2024.

Where is Banner Physician Super Specialists Arizona LLC located?

Banner Physician Super Specialists Arizona LLC is located at 1432 S Dobson Rd Ste 304, Mesa, AZ 85202. The listed phone number is (480) 412-7400.

What is Banner Physician Super Specialists Arizona LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

What insurance does Banner Physician Super Specialists Arizona LLC accept?

Health plans from Ambetter from Arizona Complete Health and Oscar Health Plan, Inc. list Banner Physician Super Specialists Arizona 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 Physician Super Specialists Arizona LLC was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.