BANNER - UNIVERSITY SUPER SPECIALISTS LLC
NPI 1740650555
Clinic/Center - Multi-Specialty in Phoenix, AZ

NPI Status: Active since October 06, 2015

Contact Information

2901 N CENTRAL AVE STE 160
PHOENIX, AZ
ZIP 85012
Phone: (602) 747-4000

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Secondary Locations
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Multi-Specialty
Accepts Insurance
CLIA Number: 03D2117601
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 08-18-2026

About BANNER - UNIVERSITY SUPER SPECIALISTS LLC

This page provides the complete NPI Profile along with additional information for Banner - University Super Specialists Llc, a provider established in Phoenix, Arizona operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1740650555 assigned on October 2015. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated April 2026. The authorized official of this NPI record is Benjamin Schwartz (President)

NPI: 1740650555
Provider Name: BANNER - UNIVERSITY SUPER SPECIALISTS LLC
Entity Type: Organization
Location Address: 2901 N CENTRAL AVE STE 160 PHOENIX, AZ 85012
Location Phone: (602) 747-4000
Mailing Address: 2901 N CENTRAL AVE STE 160 PHOENIX, AZ 85012
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 10-06-2015
Last Update Date: 04-17-2026
Code Navigator

Location Map

Secondary Locations

1400 S Dobson Rd
Mesa, AZ 85202
(480) 412-3000
1432 S Dobson Rd Ste 107
Mesa, AZ 85202
(480) 412-4100
1441 N 12th St 2 & 3 Floors
Phoenix, AZ 85006
(844) 242-4664
5757 W Thunderbird Rd Ste E250
Glendale, AZ 85306
(602) 865-4470
755 E McDowell Rd
Phoenix, AZ 85006
(602) 521-3086

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Multi-Specialty
Taxonomy Code: 261QM1300X
Type: Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	261QX0200X	Ambulatory Health Care Facilities	Clinic/Center Oncology
2	282N00000X	Hospitals	General Acute Care Hospital

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Ambetter from Arizona Complete Health

Choice Bronze HSA - HMO
Choice Bronze HSA + Vision + Adult Dental - HMO
Complete Gold - HMO
Complete Gold + Vision + Adult Dental - HMO
Complete Silver - HMO
Complete Silver + Vision + Adult Dental - HMO
Elite Gold - HMO
Elite Gold + Vision + Adult Dental - HMO
Everyday Bronze - HMO
Everyday Bronze + Vision + Adult Dental - HMO
Standard Expanded Bronze - HMO
Standard Expanded Bronze + Vision + Adult Dental - HMO
Standard Gold - HMO
Standard Gold + Vision + Adult Dental - HMO
Standard Silver - HMO
Standard Silver + Vision + Adult Dental - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: BENJAMIN SCHWARTZ
Authorized Official Title: PRESIDENT
Authorized Official Phone: (602) 747-4000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 03D2117601
Facility Type: Physician Office
Certificate Effective Date: August 19, 2024
Certificate Expiration Date: August 18, 2026
Laboratory Director: ALBERTO RAMOS
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Banner - University Super Specialists Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1740650555, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 8

Pos 4

Unchanged

Pos 5

Doubled → 12 → 1 + 2

Pos 6

Unchanged

Pos 7

Doubled → 0

Pos 8

Unchanged

Pos 9

Doubled → 10 → 1 + 0

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 6 → 12 → 3 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 8 + 0 + 1 + 2 + 5 + 0 + 5 + 1 + 0 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5

This NPI is valid

The calculated check digit is 5, which matches the last digit of 1740650555.