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BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
NPI 1417238908
Clinic/Center - Primary Care in Phoenix, AZ

Active since August 29, 2011CLIA Certified · 14 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: October 18, 2026.

Record update history: Apr 16, 2026, Dec 10, 2024, Aug 20, 2024 and 2 more (5 updates tracked since 2021).

About Banner Primary Care Physicians Arizona Llc NPPES

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

BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC (NPI 1417238908) is a healthcare organization registered as a primary care in Phoenix, Arizona and active in the NPI registry since August 2011. The organization holds 14 active CLIA laboratory certificates, maintains 33 additional practice locations, and lists Shiva Birdi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417238908
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBANNER PRIMARY CARE PHYSICIANS ARIZONA 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 DateAugust 29, 2011
Last NPPES UpdateApril 16, 20265 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1417238908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2901 N CENTRAL AVE STE 160, Phoenix, AZ 85012
Open in Google Maps ↗

Secondary Practice Locations 33

Location 12225 W Southern AveMesa, AZ 85202-4716 · Phone (480) 412-6374
Location 21800 N Civic Sq Ste 200, 220, 320Goodyear, AZ 85395-2391 · Phone (623) 465-6506
Location 36152 Hardscrabble RdPine, AZ 85544-0000 · Phone (928) 596-4848
Location 437100 N Gantzel Rd Ste 201Queen Creek, AZ 85140-7352 · Phone (480) 394-4469
Location 53235 N Hunt Hwy Ste 103Florence, AZ 85132-6898 · Phone (520) 233-2770
Location 61811 E McMurray BlvdCasa Grande, AZ 85122-5404 · Phone (520) 374-6530
Location 720751 W Market StBuckeye, AZ 85396-7893 · Phone (623) 463-5000
Location 813640 N Plaza Del Rio BlvdPeoria, AZ 85381-4846 · Phone (623) 876-3800
Location 921772 S Ellsworth Loop RdQueen Creek, AZ 85142-7709 · Phone (480) 512-3700
Location 101917 S Crismon RdMesa, AZ 85209-6216 · Phone (480) 610-7100
Location 11807 S Ponderosa StPayson, AZ 85541-5542 · Phone (928) 471-3222
Location 12564 W 9th Place Ste 2, With Mobile UnitMesa, AZ 85201-4069 · Phone (480) 412-6344
Location 13155 E Warner RdGilbert, AZ 85296-3082 · Phone (480) 649-6600
Location 141075 S Idaho Rd Ste 206Apache Junction, AZ 85119-6405 · Phone (480) 827-5005
Location 159780 S Estrella PkwyGoodyear, AZ 85338-7114 · Phone (623) 474-8101
Location 161435 S Alma School RdChandler, AZ 85286-7144 · Phone (480) 668-1600
Location 171300 S Country Club Dr Ste 3Mesa, AZ 85210-5162 · Phone (480) 827-5500
Location 184530 E Ray Rd Ste 190Phoenix, AZ 85044-6098 · Phone (480) 827-5420
Location 1917900 N Porter RdMaricopa, AZ 85138-4228 · Phone (520) 233-2500
Location 2013995 W Statler Blvd Bldg 1Surprise, AZ 85374-5501 · Phone (623) 478-3100
Location 211760 E Florence Blvd Ste 100Casa Grande, AZ 85122-4765 · Phone (520) 374-6505
Location 224375 E Irma LnPhoenix, AZ 85050-4312 · Phone (480) 890-5800
Location 234720 E Greenway RdPhoenix, AZ 85032-4355 · Phone (602) 439-6000
Location 24501 N Navajo Dr, Mailing PO Box 1447 Page 86040-1447Page, AZ 86040-0959 · Phone (928) 645-2424
Location 2515800 N Litchfield Rd Ste 150Surprise, AZ 85374-5516 · Phone (623) 478-3100
Location 26525 W Brown Rd Ste 4002Mesa, AZ 85201-3202 · Phone (480) 657-1000
Location 2714416 W Meeker BlvdSun City West, AZ 85375-5284 · Phone (623) 876-3800
Location 281780 E Florence Blvd Ste 108Casa Grande, AZ 85122-4782 · Phone (520) 374-6530
Location 298901 E Raintree Dr Ste 150Scottsdale, AZ 85260-7110 · Phone (480) 733-7600
Location 307701 W Aspera Blvd Stes 102, 201, 301Glendale, AZ 85308-7935 · Phone (623) 248-2100
Location 3128471 N Vistancia Blvd Ste 102Peoria, AZ 85383-2092 · Phone (623) 327-8800
Location 327669 E Pinnacle Peak Rd Ste 220Scottsdale, AZ 85255-3220 · Phone (480) 764-1937
Location 33120 E Main St Ste APayson, AZ 85541-5488 · Phone (928) 596-4700

Other Identifiers 1

Medicaid646019AZ

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 ›

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

Clinicians Billing Medicare Through This Organization

269

Medicare enrollment records show 269 clinicians reassign Medicare billing to Banner Primary Care Physicians Arizona LLC, which bills Medicare for the services they deliver. Of these, 32 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Family Practice110
Nurse Practitioner94
Internal Medicine46
Pediatric Medicine14
General Practice1
General Surgery1
Geriatric Medicine1
Hospitalist1
1 other specialty1

Nearest to this location (20)

See all 269
Gaurav Aggarwal, M.D.
Family Practice
NPI 1093278731
500 W THOMAS RD STE 870
Phoenix, AZ 85013
(877) 809-5092
✔ PECOS✔ Accepts Medicare0.4 mi
Michael Young, M.D.
Pediatric Medicine
NPI 1356383483
350 W THOMAS RD
Phoenix, AZ 85013
(602) 406-3000
✔ PECOS0.4 mi
Roberta Matern, MD
Family Practice
NPI 1215984349
2927 N 7TH AVE
Phoenix, AZ 85013
(602) 406-3153
✔ PECOS✔ Accepts Medicare0.6 mi
Jessica Regnaert, M.D.
Family Practice
NPI 1598077372
2927 N 7TH AVE ST. JOSEPH'S FAMILY MEDICINE CENTER
Phoenix, AZ 85013
(602) 406-3153
✔ PECOS✔ Accepts Medicare0.6 mi
Heather Tinsdale, D.O.
Family Practice
NPI 1730476417
2927 N 7TH AVE ST. JOSEPH'S FAMILY MEDICINE-PEPPERTREE BLDG.
Phoenix, AZ 85013
(602) 406-3153
✔ PECOS✔ Accepts Medicare0.6 mi
Molly Ament
Nurse Practitioner
NPI 1013752237
901 E WILLETTA ST
Phoenix, AZ 85006
(602) 839-6900
✔ PECOS✔ Accepts Medicare1.4 mi
Haley Hochstein, D.O.
Family Practice
NPI 1942940002
1300 N 12TH ST STE 605
Phoenix, AZ 85006
(602) 839-4567
✔ PECOS✔ Accepts Medicare1.5 mi
Emily Ronan, MD
Internal Medicine
NPI 1255072260
1300 N 12TH ST STE 508
Phoenix, AZ 85006
(602) 839-3927
✔ PECOS✔ Accepts Medicare1.5 mi
Jacob Anderson, D.O.
Family Practice
NPI 1558708792
1300 N 12TH ST SUITE 605
Phoenix, AZ 85006
(602) 839-2668
✔ PECOS✔ Accepts Medicare1.5 mi
Thomas Pena, D.O.
Family Practice
NPI 1164620399
1300 N 12TH ST SUITE 605
Phoenix, AZ 85006
(602) 239-4567
✔ PECOS✔ Accepts Medicare1.5 mi
Ali Etman
Family Practice
NPI 1760011514
1300 N 12TH ST STE 605
Phoenix, AZ 85006
(602) 839-4567
✔ PECOS✔ Accepts Medicare1.6 mi
Lorna Honan, MD
Internal Medicine
NPI 1154395531
1300 N 12TH ST STE 518
Phoenix, AZ 85006
(602) 257-9488
✔ PECOS✔ Accepts Medicare1.6 mi
Kimberly Koike, MD
Family Practice
NPI 1316392624
1300 N 12TH ST SUITE 605
Phoenix, AZ 85006
(602) 839-4567
✔ PECOS✔ Accepts Medicare1.6 mi
Heather Merchut
Family Practice
NPI 1326500687
1300 N 12TH ST STE 605
Phoenix, AZ 85006
(602) 839-4567
✔ PECOS✔ Accepts Medicare1.6 mi
Joseph Seelbaugh, MD
Family Practice
NPI 1275997868
1300 N 12TH ST SUITE 605
Phoenix, AZ 85006
(602) 839-4567
✔ PECOS✔ Accepts Medicare1.6 mi
Serenity Sweet, MD
General Practice
NPI 1144849035
1300 N 12TH ST STE 605
Phoenix, AZ 85006
(602) 839-5271
✔ 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
Jalisa Zinn
Nurse Practitioner
NPI 1598357147
515 W BUCKEYE RD STE 304
Phoenix, AZ 85003
(602) 243-6000
✔ PECOS✔ Accepts Medicare3.1 mi
Lurlyn Pero, M.D.
Internal Medicine
NPI 1023056728
4400 N 32ND ST SUITE 140
Phoenix, AZ 85018
(602) 254-4424
✔ PECOS✔ Accepts Medicare3.7 mi
Laura Hellenthal
Nurse Practitioner
NPI 1164779310
4400 N 32ND ST SUITE 140
Phoenix, AZ 85018
(602) 254-4424
✔ PECOS✔ Accepts Medicare3.7 mi
See all 269 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 15

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 03D2269076

Banner Primary Care Physicians Arizona LLC · Apache Junction, AZ
Active · expires Sep 19, 2028
CLIA Number03D2269076
Laboratory TypePhysician Office
Certificate Effective DateSeptember 20, 2026
Certificate Expiration DateSeptember 19, 2028
Laboratory DirectorSahand Vafadary
Laboratory Phone(480) 827-5005
Laboratory LocationBanner Primary Care Physicians Arizona LLC1075 S Idaho Rd Ste 206, Apache Junction, AZ 85119
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 03D2044517

Banner Primary Care Physicians Arizona LLC · Buckeye, AZ
Active · expires Jul 24, 2028
CLIA Number03D2044517
Laboratory TypePhysician Office
Certificate Effective DateJuly 25, 2026
Certificate Expiration DateJuly 24, 2028
Laboratory DirectorDavid Virgil
Laboratory Phone(623) 463-5000
Laboratory LocationBanner Primary Care Physicians Arizona LLC20751 W Market St, Buckeye, AZ 85396
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 03D2303957

Banner Primary Care Physicians Arizona LLC · Pine, AZ
Active · expires May 2, 2028
CLIA Number03D2303957
Laboratory TypePhysician Office
Certificate Effective DateMay 3, 2026
Certificate Expiration DateMay 2, 2028
Laboratory DirectorTamara Rector
Laboratory Phone(928) 596-4848
Laboratory LocationBanner Primary Care Physicians Arizona LLC6152 Hardscrabble Rd, Pine, AZ 85544
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 03D2039693

Banner Primary Care Physicians Arizona LLC · Maricopa, AZ
Active · expires Apr 15, 2028
CLIA Number03D2039693
Laboratory TypePhysician Office
Certificate Effective DateApril 16, 2026
Certificate Expiration DateApril 15, 2028
Laboratory DirectorJia Xi Dong
Laboratory Phone(520) 233-2500
Laboratory LocationBanner Primary Care Physicians Arizona LLC17900 North Porter Rd, Maricopa, AZ 85138
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 03D2110949

Banner Primary Care Physicians Arizona LLC · Phoenix, AZ
Active · expires Mar 27, 2028
CLIA Number03D2110949
Laboratory TypePhysician Office
Certificate Effective DateMarch 28, 2026
Certificate Expiration DateMarch 27, 2028
Laboratory DirectorKothandapany Shalini
Laboratory Phone(602) 439-6000
Laboratory LocationBanner Primary Care Physicians Arizona LLC4720 E Greenway Rd, Phoenix, AZ 85032
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 03D2299992

Banner Primary Care Physicians Arizona LLC · Scottsdale, AZ
Active · expires Feb 29, 2028
CLIA Number03D2299992
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorRuben Espinoza
Laboratory Phone(480) 733-7600
Laboratory LocationBanner Primary Care Physicians Arizona LLC8901 E Raintree Dr Ste 150, Scottsdale, AZ 85260
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 Primary Care Physicians Arizona LLC's NPI number?

The NPI number for Banner Primary Care Physicians Arizona LLC is 1417238908. It was assigned to this organization in the NPPES registry on August 29, 2011.

Where is Banner Primary Care Physicians Arizona LLC located?

Banner Primary Care Physicians Arizona LLC is located at 2901 N Central Ave Ste 160, Phoenix, AZ 85012. The listed phone number is (602) 747-4000.

What is Banner Primary Care Physicians Arizona LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Banner Primary Care Physicians Arizona LLC enrolled in Medicare?

Yes. Banner Primary Care Physicians Arizona LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Banner Primary Care Physicians Arizona LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 269 clinicians in 9 Medicare specialties reassign their Medicare billing to Banner Primary Care 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 Family Practice (110), Nurse Practitioner (94) and Internal Medicine (46). Of these, 32 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Banner Primary Care Physicians Arizona LLC hold CLIA laboratory certificates?

Yes. 14 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 Primary Care Physicians Arizona LLC accept?

Health plans from Ambetter from Arizona Complete Health and Oscar Health Plan, Inc. list Banner Primary Care Physicians 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 Primary Care Physicians Arizona 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.