BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
NPI 1659640902
Clinic/Center - Primary Care in Phoenix, AZ
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 1659640902) is a healthcare organization registered as a primary care in Phoenix, Arizona and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through November 20, 2027, maintains 10 additional practice locations, and lists Shiva Birdi, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 10
Other Identifiers 2
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 Primary Care Physicians Arizona Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
269Medicare 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
Nearest to this location (20)
See all 269Phoenix, AZ 85013
Phoenix, AZ 85013
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
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 03D2294246
Banner Primary Care Physicians Arizona LLC · Casa Grande, AZFrequently 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 1659640902. It was assigned to this organization in the NPPES registry on December 15, 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 a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2294246) is associated with this NPI, valid through November 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Banner Primary Care Physicians Arizona LLC accept?
Health plans from Ambetter Health and Ambetter from Arizona Complete Health 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 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.
# Banner Primary Care Physicians Arizona Llc · NPI 1659640902
Primary Care organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since December 15, 2011.
## Identity
- **NPI:** 1659640902 (Entity type: Organization)
- **Enumerated:** December 15, 2011
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** Yes (part of Banner Medical Group)
- **Authorized official:** Shiva Birdi, CEO
## Practice location
- **Address:** 2901 N CENTRAL AVE STE 160, Phoenix, AZ 85012-2702
- **Phone:** (602) 747-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 269 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (110), Nurse Practitioner (94), Internal Medicine (46); 32 practice within 10 miles; [full list](https://npiprofile.com/npi/1659640902/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 17, 2026
- **Other identifiers:** Other 1417238908; Medicaid 646019 (AZ)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1659640902) · Data from the CMS NPPES public registry.