BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
NPI 1710234703
Clinic/Center - Multi-Specialty in Page, 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 1710234703) is a healthcare organization registered as a multi-specialty in Page, Arizona and active in the NPI registry since August 2012. The organization lists Dennis Laraway, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 269Source: 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 1710234703. It was assigned to this organization in the NPPES registry on August 8, 2012.
Where is Banner Primary Care Physicians Arizona LLC located?
Banner Primary Care Physicians Arizona LLC is located at 601 N Navajo, Page, AZ 86040. The listed phone number is (928) 645-0740.
What is Banner Primary Care Physicians Arizona LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
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). 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 December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Banner Primary Care Physicians Arizona Llc · NPI 1710234703
Multi-Specialty organization in Page, Arizona. Organization record, active in the CMS NPPES registry since August 8, 2012.
## Identity
- **NPI:** 1710234703 (Entity type: Organization)
- **Enumerated:** August 8, 2012
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** Yes (part of Banner Medical Group Arizona)
- **Authorized official:** Dennis Laraway, CFO
## Practice location
- **Address:** 601 N NAVAJO, Page, AZ 86040
- **Phone:** (928) 645-0740 · **Fax:** (928) 645-0753
## 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); [full list](https://npiprofile.com/npi/1710234703/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 30, 2021
- **Other identifiers:** Medicaid 646505 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1710234703) · Data from the CMS NPPES public registry.