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BANNER - UNIVERSITY PHYSICIAN SPECIALISTS LLC
NPI 1417312760
Clinic/Center - Multi-Specialty in Phoenix, AZ

Active since December 30, 2015
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 25, 2026.

Record update history: Apr 16, 2026, Mar 27, 2026, Feb 14, 2025 and 2 more (5 updates tracked since 2015).

About Banner - University Physician Specialists Llc NPPES

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

BANNER - UNIVERSITY PHYSICIAN SPECIALISTS LLC (NPI 1417312760) is a healthcare organization registered as a multi-specialty in Phoenix, Arizona and active in the NPI registry since December 2015. The organization maintains a secondary practice location in Page and lists Benjamin Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1417312760
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBANNER - UNIVERSITY PHYSICIAN SPECIALISTS LLC
Location Address2901 N CENTRAL AVE STE 160Phoenix, AZ 85012-2702
Mailing Address2901 N Central AvePhoenix, AZ 85012-2700
Phone(602) 747-4000
Organization SubpartYesParent: Banner -- University Medical Group
Authorized OfficialBenjamin SchwartzPresident · (602) 747-4000
Enumeration DateDecember 30, 2015
Last NPPES UpdateApril 16, 20265 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1417312760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2901 N CENTRAL AVE STE 160, Phoenix, AZ 85012
Open in Google Maps ↗

Secondary Practice Location 1

Location 1501 N Navajo Dr, Mailing PO Box 1447 Page 86040-1447Page, AZ 86040-0959 · Phone (928) 645-2424 · Fax (928) 645-3549

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 - University Physician Specialists Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

551

Medicare enrollment records show 551 clinicians reassign Medicare billing to Banner - University Physician Specialists LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 298 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 50

Nurse Practitioner94
Obstetrics/Gynecology58
Diagnostic Radiology56
Internal Medicine32
Cardiovascular Disease (Cardiology)27
General Surgery27
Neurology27
Gastroenterology19
42 other specialties211

Nearest to this location (20)

See all 551
Lisa Apolinar, DNP,FNP,BSN
Nurse Practitioner
NPI 1639692106
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
(602) 839-2000
✔ PECOS✔ Accepts MedicareSame address
Chijioke Soribe, MD
Obstetrics/Gynecology
NPI 1033392113
3003 N CENTRAL AVE STE 1600
Phoenix, AZ 85012
(602) 332-3339
✔ PECOS0.1 mi
Benjamin Weigman, MD
Diagnostic Radiology
NPI 1881222115
350 W THOMAS RD
Phoenix, AZ 85013
(602) 406-3000
✔ PECOS✔ Accepts Medicare0.3 mi
Jillian Jones, AGACNP-BC
Nurse Practitioner
NPI 1104589019
2910 N 3RD AVE STE 470
Phoenix, AZ 85013
(602) 406-6262
✔ PECOS✔ Accepts Medicare0.3 mi
Joyce Lee-Iannotti, M.D.
Neurology
NPI 1518133271
2910 N 3RD AVE STE 500
Phoenix, AZ 85013
(602) 406-6262
✔ PECOS✔ Accepts Medicare0.3 mi
Tammy Tyree, NP
Nurse Practitioner
NPI 1598838526
2910 N 3RD AVE
Phoenix, AZ 85013
(602) 402-1912
✔ PECOS✔ Accepts Medicare0.3 mi
Courtney Mitchell, M.D.
Diagnostic Radiology
NPI 1558433870
350 W THOMAS RD
Phoenix, AZ 85013
(602) 406-3430
✔ PECOS✔ Accepts Medicare0.4 mi
Randy Richardson, MD
Diagnostic Radiology
NPI 1326056599
350 W THOMAS RD
Phoenix, AZ 85013
(602) 406-3430
✔ PECOS✔ Accepts Medicare0.4 mi
Joshua Tobin, M.D.
Neurology
NPI 1629010830
2601 N 3RD ST SUITE 125
Phoenix, AZ 85004
(602) 265-6500
✔ PECOS✔ Accepts Medicare0.4 mi
Kendra Gray, DO
Obstetrics/Gynecology
NPI 1477965218
500 W THOMAS RD STE 700
Phoenix, AZ 85013
(602) 406-7048
✔ PECOS✔ Accepts Medicare0.4 mi
Laura Mercer, MD
Obstetrics/Gynecology
NPI 1083841969
500 W THOMAS RD STE 720&730
Phoenix, AZ 85013
(602) 406-3715
✔ PECOS✔ Accepts Medicare0.4 mi
Allison O'mara, PSYD
Clinical Psychologist
NPI 1982843355
500 W THOMAS RD STE 230
Phoenix, AZ 85013
(602) 406-9999
✔ PECOS✔ Accepts Medicare0.4 mi
Karam Moon, MD
Neurosurgery
NPI 1104147909
350 W THOMAS RD ATTN: ACADEMIC AFFAIRS
Phoenix, AZ 85013
(602) 406-3000
✔ PECOS✔ Accepts Medicare0.4 mi
Ian Crain, M.D.
Neurology
NPI 1447518006
350 W THOMAS RD
Phoenix, AZ 85013
(602) 406-3000
✔ PECOS✔ Accepts Medicare0.4 mi
Steven Bastian, MD
Hand Surgery
NPI 1760538342
370 E VIRGINIA AVE SUITE 100
Phoenix, AZ 85004
(602) 258-4788
✔ PECOS✔ Accepts Medicare0.5 mi
Lloyd Champagne, M.D.
Hand Surgery
NPI 1407856537
370 E VIRGINIA AVE SUITE 100
Phoenix, AZ 85004
(602) 258-4788
✔ PECOS✔ Accepts Medicare0.5 mi
Kevin Han, M.D.
Hand Surgery
NPI 1487953840
370 E VIRGINIA AVE STE 100
Phoenix, AZ 85004
(602) 258-4788
✔ PECOS✔ Accepts Medicare0.5 mi
Allen Liu, M.D.
Plastic and Reconstructive Surgery
NPI 1902975907
370 E VIRGINIA AVE STE 100
Phoenix, AZ 85004
(602) 258-4788
✔ PECOS✔ Accepts Medicare0.5 mi
Sean Mitchell, M.D.
Orthopedic Surgery
NPI 1346603263
370 E VIRGINIA AVE STE 100
Phoenix, AZ 85004
(602) 258-4788
✔ PECOS✔ Accepts Medicare0.5 mi
Todd Richards, MD
Plastic and Reconstructive Surgery
NPI 1053499541
370 E VIRGINIA AVE 100
Phoenix, AZ 85004
(602) 258-4788
✔ PECOS✔ Accepts Medicare0.5 mi
See all 551 clinicians

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 - University Physician Specialists LLC's NPI number?

The NPI number for Banner - University Physician Specialists LLC is 1417312760. It was assigned to this organization in the NPPES registry on December 30, 2015.

Where is Banner - University Physician Specialists LLC located?

Banner - University Physician Specialists LLC is located at 2901 N Central Ave Ste 160, Phoenix, AZ 85012. The listed phone number is (602) 747-4000.

What is Banner - University Physician Specialists LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Banner - University Physician Specialists LLC enrolled in Medicare?

Yes. Banner - University Physician Specialists LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Banner - University Physician Specialists LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 551 clinicians in 50 Medicare specialties reassign their Medicare billing to Banner - University Physician Specialists 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 Nurse Practitioner (94), Obstetrics/Gynecology (58) and Diagnostic Radiology (56). Of these, 1 practice at this address and 298 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 - University Physician Specialists 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.