BANNER HOSPITAL BASED PHYSICIANS WEST LLC
NPI 1619464120
Clinic/Center - Multi-Specialty in Casper, WY

Active since April 19, 2018
1233 E 2ND ST, CASPER, WY 82601(307) 577-2171 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 17, 2026, Apr 19, 2018 (2 updates tracked since 2018).

About Banner Hospital Based Physicians West Llc NPPES

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

BANNER HOSPITAL BASED PHYSICIANS WEST LLC (NPI 1619464120) is a healthcare organization registered as a multi-specialty in Casper, Wyoming and active in the NPI registry since April 2018. The organization maintains 2 additional practice locations and lists Shiva Birdi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619464120
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBANNER HOSPITAL BASED PHYSICIANS WEST LLC
Location Address1233 E 2ND STCasper, WY 82601-2926
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Organization SubpartYesParent: Banner Medical Group
Authorized OfficialShiva BirdiCeo · (602) 747-4000
Enumeration DateApril 19, 2018
Last NPPES UpdateApril 17, 20262 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
✔ NPI 1619464120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1233 E 2ND ST, Casper, WY 82601

Secondary Practice Locations 2

Location 1400 S 15th StWorland, WY 82401-3531 · Phone (307) 347-3221
Location 22000 Campbell DrTorrington, WY 82240-1528 · Phone (307) 532-4181

Accepted 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 Hospital Based Physicians West Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

54

Medicare enrollment records show 54 clinicians reassign Medicare billing to Banner Hospital Based Physicians West LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Critical Care (Intensivists)19
Pediatric Medicine19
Obstetrics/Gynecology6
Pulmonary Disease4
Anesthesiology2
Family Practice2
Internal Medicine2

Nearest to this location (20)

See all 54
Pediatric Medicine
NPI 1811573272
1233 E 2ND ST
Casper, WY 82601
(307) 577-7201
✔ PECOSSame address
Critical Care (Intensivists)
NPI 1821259144
1233 E 2ND ST
Casper, WY 82601
(307) 577-7201
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1629561196
1233 E 2ND ST
Casper, WY 82601
(307) 577-7201
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1518124114
940 E 3RD ST STE 203
Casper, WY 82601
(307) 333-6940
✔ PECOS0.2 mi
Family Practice
NPI 1548201213
1522 E A ST
Casper, WY 82601
(307) 233-6000
✔ PECOS✔ Accepts Medicare0.3 mi
Pediatric Medicine
NPI 1184243685
1020 CONWELL ST.
Casper, WY 82601
(516) 808-1917
✔ PECOS0.6 mi
Pediatric Medicine
NPI 1659608214
501 S BURMA AVE
Gillette, WY 82716
(307) 688-1534
✔ PECOS107 mi
Family Practice
NPI 1841938826
625 ALBANY AVE
Torrington, WY 82240
(307) 532-2107
✔ PECOS✔ Accepts Medicare120 mi
Pediatric Medicine
NPI 1780045427
2900 DOOLITTLE DR
Ellsworth Afb, SD 57706
(937) 641-3000
✔ PECOS186 mi
Critical Care (Intensivists)
NPI 1366422073
1801 16TH ST
Greeley, CO 80631
(970) 810-2026
✔ PECOS✔ Accepts Medicare187 mi
Pulmonary Disease
NPI 1114122876
1801 16TH ST
Greeley, CO 80631
(951) 486-4000
✔ PECOS✔ Accepts Medicare187 mi
Pediatric Medicine
NPI 1568112183
13123 E 16TH AVE
Aurora, CO 80045
(720) 777-5070
✔ PECOS228 mi
Obstetrics/Gynecology
NPI 1952476996
13123 E 16TH AVE
Aurora, CO 80045
(720) 777-1234
✔ PECOS228 mi
Obstetrics/Gynecology
NPI 1437686284
2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814
(208) 625-4000
✔ PECOS✔ Accepts Medicare610 mi
Critical Care (Intensivists)
NPI 1649351222
5950 UNIVERSITY AVE STE 131
West Des Moines, IA 50266
(515) 875-9550
✔ PECOS✔ Accepts Medicare647 mi
Pulmonary Disease
NPI 1093869414
6677 W THUNDERBIRD RD BLDG E
Glendale, AZ 85306
(623) 815-7800
✔ PECOS✔ Accepts Medicare713 mi
Critical Care (Intensivists)
NPI 1598718892
14502 W MEEKER BLVD
Sun City West, AZ 85375
(623) 524-8814
✔ PECOS✔ Accepts Medicare714 mi
Internal Medicine
NPI 1073562930
6200 N LA CHOLLA BLVD
Tucson, AZ 85741
(520) 742-9000
✔ PECOS✔ Accepts Medicare770 mi
Anesthesiology
NPI 1659687713
757 WESTWOOD PLZ STE 3325
Los Angeles, CA 90095
(310) 267-6629
✔ PECOS✔ Accepts Medicare893 mi
Anesthesiology
NPI 1972692069
1775 W. DEMPSTER
Park Ridge, IL 60068
(847) 723-2210
✔ PECOS✔ Accepts Medicare944 mi
See all 54 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 Hospital Based Physicians West LLC's NPI number?

The NPI number for Banner Hospital Based Physicians West LLC is 1619464120. It was assigned to this organization in the NPPES registry on April 19, 2018.

Where is Banner Hospital Based Physicians West LLC located?

Banner Hospital Based Physicians West LLC is located at 1233 E 2nd St, Casper, WY 82601. The listed phone number is (307) 577-2171.

What is Banner Hospital Based Physicians West LLC's specialty?

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

Is Banner Hospital Based Physicians West LLC enrolled in Medicare?

Yes. Banner Hospital Based Physicians West LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Banner Hospital Based Physicians West LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 54 clinicians in 7 Medicare specialties reassign their Medicare billing to Banner Hospital Based Physicians West 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 Critical Care (Intensivists) (19), Pediatric Medicine (19) and Obstetrics/Gynecology (6). Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Banner Hospital Based Physicians West LLC accept?

Health plans from Blue Cross Blue Shield of Wyoming list Banner Hospital Based Physicians West 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 Hospital Based Physicians West LLC was last updated on April 17, 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.