BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
NPI 1649544362
Clinical Medical Laboratory in Peoria, AZ

Active since February 27, 2012
13640 N PLAZA DEL RIO BLVD, STE 102, PEORIA, AZ 85381(623) 876-3928 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, Dec 27, 2021 (2 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 1649544362) is a healthcare organization registered as a clinical medical laboratory in Peoria, Arizona and active in the NPI registry since February 2012. The organization lists Shiva Birdi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1649544362
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameBANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
Location Address13640 N PLAZA DEL RIO BLVD, STE 102Peoria, AZ 85381-4846
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Organization SubpartYesParent: Banner Medical Group
Authorized OfficialShiva BirdiCeo · (602) 747-4000
Enumeration DateFebruary 27, 2012
Last NPPES UpdateApril 17, 20262 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
✔ NPI 1649544362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
13640 N PLAZA DEL RIO BLVD, Peoria, AZ 85381

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, 13 practice at this address and 64 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
Family Practice
NPI 1922459700
13640 N PLAZA DEL RIO BLVD
Peoria, AZ 85381
(623) 285-0306
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1295396273
13640 N PLAZA DEL RIO BLVD FL 3
Peoria, AZ 85381
(623) 876-3800
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1417275348
13640 N PLAZA DEL RIO BLVD SUITE 350
Peoria, AZ 85381
(623) 876-8600
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1740019918
13640 N PLAZA DEL RIO BLVD
Peoria, AZ 85381
(623) 876-3800
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1588291298
13640 N PLAZA DEL RIO BLVD
Peoria, AZ 85381
(623) 876-3800
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1174560494
13640 N PLAZA DEL RIO BLVD STE 350
Peoria, AZ 85381
(623) 876-8600
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1851553861
13640 N PLAZA DEL RIO BLVD ATTN: JEANA SCOTT, CREDENTIALING
Peoria, AZ 85381
(623) 876-6922
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1386712560
13640 N PLAZA DEL RIO BLVD
Peoria, AZ 85381
(623) 285-0306
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1235176207
13640 N PLAZA DEL RIO BLVD STE 220
Peoria, AZ 85381
(623) 876-3850
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1710514963
13640 N PLAZA DEL RIO BLVD
Peoria, AZ 85381
(623) 876-3800
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1831584044
13640 N PLAZA DEL RIO BLVD
Peoria, AZ 85381
(623) 876-3830
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053883371
13640 N PLAZA DEL RIO BLVD
Peoria, AZ 85381
(623) 876-3800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1124725593
13640 N PLAZA DEL RIO BLVD STE 350
Peoria, AZ 85381
(623) 876-3800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1194427344
9171 W THUNDERBIRD RD STE 101
Peoria, AZ 85381
(623) 877-0100
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1184617961
9139 W THUNDERBIRD RD STE 265
Peoria, AZ 85381
(602) 777-7011
✔ PECOS✔ Accepts Medicare0.2 mi
Pediatric Medicine
NPI 1891991253
15525 N 83RD AVE STE 104
Peoria, AZ 85382
(877) 809-5092
✔ PECOS1.8 mi
Nurse Practitioner
NPI 1255704797
17218 N 72ND DR SUITE 100
Glendale, AZ 85308
(623) 334-8671
✔ PECOS✔ Accepts Medicare3.4 mi
Internal Medicine
NPI 1396971586
5891 W EUGIE AVE
Glendale, AZ 85304
(602) 588-6600
✔ PECOS✔ Accepts Medicare4.2 mi
Family Practice
NPI 1750342812
6120 W BELL RD SUITE 110
Glendale, AZ 85308
(602) 978-9053
✔ PECOS✔ Accepts Medicare4.5 mi
Internal Medicine
NPI 1497753123
5555 W THUNDERBIRD RD
Glendale, AZ 85306
(602) 865-5555
✔ PECOS✔ Accepts Medicare4.6 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.

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 1649544362. It was assigned to this organization in the NPPES registry on February 27, 2012.

Where is Banner Primary Care Physicians Arizona LLC located?

Banner Primary Care Physicians Arizona LLC is located at 13640 N Plaza Del Rio Blvd Ste 102, Peoria, AZ 85381. The listed phone number is (623) 876-3928.

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

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

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, 13 practice at this address and 64 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 Primary Care Physicians Arizona 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.