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BANNER CHILDRENS BANNER HEALTH CLINIC LLC
NPI 1407191216
Clinic/Center - Primary Care in Phoenix, AZ

Active since December 05, 2012CLIA Certified · 18 labs
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012(602) 747-4000 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 16, 2026, Sep 2, 2025, Jul 3, 2025 and 5 more (8 updates tracked since 2019).

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 1407191216) is a healthcare organization registered as a primary care in Phoenix, Arizona and active in the NPI registry since December 2012. The organization holds 18 active CLIA laboratory certificates, maintains 22 additional practice locations, and lists Shiva Birdi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407191216
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBANNER CHILDRENS BANNER HEALTH CLINIC LLC
Location Address2901 N CENTRAL AVE STE 160Phoenix, AZ 85012-2702
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(602) 747-4000
Organization SubpartYesParent: Banner Medical Group
Authorized OfficialShiva BirdiCeo · (602) 747-4000
Enumeration DateDecember 5, 2012
Last NPPES UpdateApril 16, 20268 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1407191216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
2901 N CENTRAL AVE STE 160, Phoenix, AZ 85012
Open in Google Maps ↗

Secondary Practice Locations 22

Location 11300 S Country Club Dr Ste 3Mesa, AZ 85210-5162 · Phone (480) 827-5500
Location 213995 W Statler Blvd Bldg 1Surprise, AZ 85374-5501 · Phone (623) 478-3100
Location 31220 S Higley Rd Ste 101Mesa, AZ 85206-4001 · Phone (480) 615-2010 · Fax (480) 324-0950
Location 420751 W Market StBuckeye, AZ 85396-7893 · Phone (623) 463-5000
Location 521772 S Ellsworth Loop RdQueen Creek, AZ 85142-7709 · Phone (480) 512-3700
Location 63493 S Mercy Rd Bldg 15Gilbert, AZ 85297-0434 · Phone (480) 827-5042
Location 71435 S Alma School RdChandler, AZ 85286-7144 · Phone (480) 668-1600
Location 81450 S Dobson Rd Ste B220Mesa, AZ 85202-4745 · Phone (480) 827-5044
Location 9155 E Warner RdGilbert, AZ 85296-3082 · Phone (480) 649-6600
Location 104375 E Irma LnPhoenix, AZ 85050-4312 · Phone (480) 890-5800
Location 116142 E Brown Rd Ste 102Mesa, AZ 85205-4962 · Phone (480) 827-5430
Location 124720 E Greenway RdPhoenix, AZ 85032-4355 · Phone (602) 439-6000
Location 139780 S Estrella PkwyGoodyear, AZ 85338-7114 · Phone (623) 474-8101
Location 141800 N Civic Sq STE 200 220 320Goodyear, AZ 85395-2391 · Phone (623) 478-3100
Location 151800 N Civic Sq Ste 200, 220, 320Goodyear, AZ 85395-2391 · Phone (623) 478-3100
Location 168901 E Raintree Dr Ste 150Scottsdale, AZ 85260-7110 · Phone (480) 733-7600
Location 1715800 N Litchfield Rd Ste 150Surprise, AZ 85374-5516 · Phone (623) 478-3100
Location 187701 W Aspera Blvd Stes 102, 201, 301Glendale, AZ 85308-7935 · Phone (623) 248-2100
Location 191075 S Idaho Rd Ste 206Apache Junction, AZ 85119-6405 · Phone (480) 827-5005
Location 2017900 N Porter RdMaricopa, AZ 85138-4228 · Phone (520) 233-2500
Location 211760 E Florence Blvd Ste 100Casa Grande, AZ 85122-4765 · Phone (520) 374-6505
Location 221811 E McMurray BlvdCasa Grande, AZ 85122-5404 · Phone (520) 374-6530

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Cigna HealthCare of Arizona, Inc and more.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

57

Medicare 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

Pediatric Medicine46
Nurse Practitioner7
Family Practice3
Hospitalist1

Nearest to this location (20)

See all 57
Heather Merchut
Family Practice
NPI 1326500687
1300 N 12TH ST STE 605
Phoenix, AZ 85006
(602) 839-4567
✔ PECOS✔ Accepts Medicare1.6 mi
Maria Martin
Hospitalist
NPI 1720585805
1919 E THOMAS RD
Phoenix, AZ 85016
(602) 933-0777
✔ PECOS✔ Accepts Medicare1.9 mi
Farha Khan, M.D.
Pediatric Medicine
NPI 1073584611
515 W BUCKEYE RD SUITE 402
Phoenix, AZ 85003
(480) 759-1040
✔ PECOS3.1 mi
Zafar Quadir, MD
Pediatric Medicine
NPI 1457371759
2510 W DUNLAP AVE STE 290
Phoenix, AZ 85021
(602) 789-0344
✔ PECOS6.6 mi
David Ryan, M.D.
Pediatric Medicine
NPI 1598726242
9003 E SHEA BLVD
Scottsdale, AZ 85260
(361) 960-0607
✔ PECOS13 mi
Kelly England, M.D.
Pediatric Medicine
NPI 1679563282
1450 S DOBSON RD SUITE B220
Mesa, AZ 85202
(480) 615-2010
✔ PECOS13 mi
Jennifer Femiano, M.D.
Pediatric Medicine
NPI 1467440040
4375 E IRMA LN
Phoenix, AZ 85050
(480) 890-5800
✔ PECOS14 mi
Anushka Kinra, D.O
Pediatric Medicine
NPI 1811271950
4375 E IRMA LN
Phoenix, AZ 85050
(480) 890-5800
✔ PECOS14 mi
Mark Morales, MD
Pediatric Medicine
NPI 1083684864
4375 E IRMA LN
Phoenix, AZ 85050
(480) 890-5800
✔ PECOS14 mi
Coleen Marias, MD
Pediatric Medicine
NPI 1215917638
8901 E RAINTREE DR STE 150
Scottsdale, AZ 85260
(480) 733-7600
✔ PECOS14 mi
Ayesha Najib, M.D.
Pediatric Medicine
NPI 1801820816
8901 E RAINTREE DR STE 150
Scottsdale, AZ 85260
(480) 733-7600
✔ PECOS14 mi
Angela Feng
Family Practice
NPI 1144684036
1950 S COUNTRY CLUB DR STE 101
Mesa, AZ 85210
(480) 827-5500
✔ PECOS✔ Accepts Medicare15 mi
Mehdi Salek, M.D.
Pediatric Medicine
NPI 1215903836
2152 S VINEYARD SUITE 129
Mesa, AZ 85210
(480) 732-0044
✔ PECOS✔ Accepts Medicare15 mi
Tanya Pitts, M.D.
Pediatric Medicine
NPI 1124062435
7701 W ASPERA BLVD STE 201301
Glendale, AZ 85308
(623) 465-6060
✔ PECOS16 mi
Joseph Armstrong, MD
Pediatric Medicine
NPI 1134625486
7701 WEST ASPERA BLVD
Glendale, AZ 85308
(623) 465-6060
✔ PECOS16 mi
Jennifer Sylvester, CPNP
Nurse Practitioner
NPI 1851622732
7757 W DEER VALLEY RD STE 275
Peoria, AZ 85382
(623) 878-2800
✔ PECOS16 mi
Courtney Agliano
Nurse Practitioner
NPI 1417431586
1445 W CHANDLER BLVD
Chandler, AZ 85224
(480) 385-5055
✔ PECOS17 mi
Rumbidzai Mutikani
Pediatric Medicine
NPI 1568015923
1800 N CIVIC SQ STE 220
Goodyear, AZ 85395
(623) 474-8370
✔ PECOS18 mi
Edgar Pastora, MD
Family Practice
NPI 1477255677
15800 N LITCHFIELD RD STE 150
Surprise, AZ 85374
(623) 478-3100
✔ PECOS✔ Accepts Medicare19 mi
James Stangle, CPNP-PC, FNP-C
Nurse Practitioner
NPI 1790206159
15800 N LITCHFIELD RD STE 150
Surprise, AZ 85374
(623) 478-3100
✔ PECOS19 mi
See all 57 clinicians

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

CLIA Laboratory Certificates CMS CLIA 18

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2184079

Banner Childrens Banner Health Clinic LLC · Goodyear, AZ
Active · expires May 13, 2028
CLIA Number03D2184079
Laboratory TypePhysician Office
Certificate Effective DateMay 14, 2026
Certificate Expiration DateMay 13, 2028
Laboratory DirectorJarrett Riley
Laboratory Phone(623) 474-8101
Laboratory LocationBanner Childrens Banner Health Clinic LLC9780 S Estrella Pkwy, Goodyear, AZ 85338
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2183950

Banner Childrens Banner Health Clinic LLC · Gilbert, AZ
Active · expires May 11, 2028
CLIA Number03D2183950
Laboratory TypePhysician Office
Certificate Effective DateMay 12, 2026
Certificate Expiration DateMay 11, 2028
Laboratory DirectorSyerra Lea
Laboratory Phone(480) 649-6600
Laboratory LocationBanner Childrens Banner Health Clinic LLC155 E Warner Rd, Gilbert, AZ 85296
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2183726

Banner Childrens Banner Health Clinic LLC · Phoenix, AZ
Active · expires May 7, 2028
CLIA Number03D2183726
Laboratory TypePhysician Office
Certificate Effective DateMay 8, 2026
Certificate Expiration DateMay 7, 2028
Laboratory DirectorLurlyn Pero
Laboratory Phone(480) 890-5800
Laboratory LocationBanner Childrens Banner Health Clinic LLC4375 E Irma Ln, Phoenix, AZ 85050
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2183629

Banner Childrens Banner Health Clinic LLC · Maricopa, AZ
Active · expires May 6, 2028
CLIA Number03D2183629
Laboratory TypePhysician Office
Certificate Effective DateMay 7, 2026
Certificate Expiration DateMay 6, 2028
Laboratory DirectorDawn Sorenson
Laboratory Phone(520) 233-2500
Laboratory LocationBanner Childrens Banner Health Clinic LLC17900 N Porter Rd, Maricopa, AZ 85138
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2183558

Banner Childrens Banner Health Clinic LLC · Phoenix, AZ
Active · expires May 5, 2028
CLIA Number03D2183558
Laboratory TypePhysician Office
Certificate Effective DateMay 6, 2026
Certificate Expiration DateMay 5, 2028
Laboratory DirectorKothandapany Shalini
Laboratory Phone(602) 439-6000
Laboratory LocationBanner Childrens Banner Health Clinic LLC4720 E Greenway Rd, Phoenix, AZ 85032
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2183560

Banner Childrens Banner Health Clinic LLC · Chandler, AZ
Active · expires May 5, 2028
CLIA Number03D2183560
Laboratory TypePhysician Office
Certificate Effective DateMay 6, 2026
Certificate Expiration DateMay 5, 2028
Laboratory DirectorRuben Espinoza
Laboratory Phone(480) 668-1600
Laboratory LocationBanner Childrens Banner Health Clinic LLC1435 S Alma School Rd, Chandler, AZ 85286
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1407191216. It was assigned to this organization in the NPPES registry on December 5, 2012.

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.

Does Banner Childrens Banner Health Clinic LLC hold CLIA laboratory certificates?

Yes. 18 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Banner Childrens Banner Health Clinic LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. 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 April 16, 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.