BANNER TEMPE SURGERY CENTER
NPI 1437615929
Clinic/Center - Ambulatory Surgical in Tempe, AZ

Q: What is Banner Enticare Tempe Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since February 20, 2019CLIA 03D2164221 · Waiver

1940 E SOUTHERN AVE, TEMPE, AZ 85282(480) 820-7101 Get Directions Write a Review

NPPES record last updated: February 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 11, 2020, Nov 22, 2019, Feb 20, 2019 (3 updates tracked since 2019).

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About Banner Tempe Surgery Center NPPES

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

BANNER TEMPE SURGERY CENTER (NPI 1437615929) is a healthcare organization registered as an ambulatory surgical in Tempe, Arizona and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through March 28, 2027 and lists Homan Mostafavi, Manager-member, as its authorized official.

NPPES Registry Identity

NPI1437615929

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameBANNER ENTICARE TEMPE SURGERY CENTER LLC

Location Address1940 E SOUTHERN AVETempe, AZ 85282-7518

Mailing Address2355 E Camelback Rd Ste 700Phoenix, AZ 85016-9044 · (602) 550-0428

Phone(480) 820-7101

Organization SubpartNo

Authorized OfficialHoman MostafaviManager-member · (248) 229-6188

Enumeration DateFebruary 20, 2019

Last NPPES UpdateFebruary 11, 20203 updates tracked since enumeration

✔ NPI 1437615929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

1940 E SOUTHERN AVE, Tempe, AZ 85282

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Other Names 1

Doing Business AsBanner Tempe Surgery Center

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA

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 03D2164221

Banner Enticare Tempe Surgery Center, LLC · Tempe, AZ

Active · expires Mar 28, 2027

CLIA Number03D2164221

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMarch 29, 2025

Certificate Expiration DateMarch 28, 2027

Laboratory DirectorTimothy Smith

Laboratory Phone(805) 264-2056

Laboratory LocationBanner Enticare Tempe Surgery Center, LLC1940 E Southern Ave, Tempe, AZ 85282

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

138 services62 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

38 services20 patients

Destruction of surface soft tissue of nasal passages 30802

This procedure involves removing or destroying soft tissue in the nasal passages. It's often performed to improve breathing, reduce snoring, or treat conditions like nasal polyps. The process is usually done under local or general anesthesia.

16 services16 patients

Insertion or replacement of spinal neurostimulator generator or receiver 63685

The insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.

13 services13 patients

Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin 0275T

This procedure involves removing a small portion of bone from your lower spine. The goal is to relieve pressure on your nerve tissue, improving comfort and mobility. It is done through the skin using imaging technology to ensure precision and safety.

12 services12 patients

Reshaping of nasal cartilage 30520

Reshaping of nasal cartilage, also known as rhinoplasty, is a surgical procedure to modify the structure of the nose for aesthetic or functional purposes. It involves adjusting the cartilage and bone in the nose to achieve the desired shape or to improve breathing.

12 services12 patients

Other Providers at the Same Location NPPES

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

PHYSICIANS SURGERY CENTER OF TEMPE, LLC

Clinic/Center (Ambulatory Surgical)

1940 E SOUTHERN AVE
TEMPE, AZ 85282

Maricopa County (480) 820-7101

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 Enticare Tempe Surgery Center LLC's NPI number?

The NPI number for Banner Enticare Tempe Surgery Center LLC is 1437615929. It was assigned to this organization in the NPPES registry on February 20, 2019. The provider is doing business as Banner Tempe Surgery Center.

Where is Banner Enticare Tempe Surgery Center LLC located?

Banner Enticare Tempe Surgery Center LLC is located at 1940 E Southern Ave, Tempe, AZ 85282. The listed phone number is (480) 820-7101.

What is Banner Enticare Tempe Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Banner Enticare Tempe Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2164221) is associated with this NPI, valid through March 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Banner Enticare Tempe Surgery Center LLC accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Banner Enticare Tempe Surgery Center 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 Enticare Tempe Surgery Center LLC was last updated on February 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.