BANNER - UNIVERSITY SUPER SPECIALISTS LLC
NPI 1740650555
Clinic/Center - Multi-Specialty in Phoenix, AZ
About Banner - University Super Specialists Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BANNER - UNIVERSITY SUPER SPECIALISTS LLC (NPI 1740650555) is a healthcare organization registered as a multi-specialty in Phoenix, Arizona and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through August 18, 2028, maintains 5 additional practice locations, and lists Benjamin Schwartz, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 5
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 - University Super Specialists Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
88Medicare enrollment records show 88 clinicians reassign Medicare billing to Banner - University Super Specialists LLC, which bills Medicare for the services they deliver. Of these, 44 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 88Phoenix, AZ 85006
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 03D2117601
Banner - University Super Specialists LLC Adv Liver Disease/Transplant · Phoenix, 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 - University Super Specialists LLC's NPI number?
The NPI number for Banner - University Super Specialists LLC is 1740650555. It was assigned to this organization in the NPPES registry on October 6, 2015.
Where is Banner - University Super Specialists LLC located?
Banner - University Super Specialists LLC is located at 2901 N Central Ave Ste 160, Phoenix, AZ 85012. The listed phone number is (602) 747-4000.
What is Banner - University Super Specialists LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Banner - University Super Specialists LLC enrolled in Medicare?
Yes. Banner - University Super Specialists LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Banner - University Super Specialists LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 88 clinicians in 9 Medicare specialties reassign their Medicare billing to Banner - University Super Specialists 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 Nephrology (29), Nurse Practitioner (27) and Hematology/Oncology (9). Of these, 44 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Banner - University Super Specialists LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2117601) is associated with this NPI, valid through August 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Banner - University Super Specialists LLC accept?
Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Banner - University Super Specialists 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 - University Super Specialists 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 - University Super Specialists Llc · NPI 1740650555
Multi-Specialty organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since October 6, 2015.
## Identity
- **NPI:** 1740650555 (Entity type: Organization)
- **Enumerated:** October 6, 2015
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** Yes (part of Banner University Medical Group)
- **Authorized official:** Benjamin Schwartz, PRESIDENT
## 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:** 88 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nephrology (29), Nurse Practitioner (27), Hematology/Oncology (9); 44 practice within 10 miles; [full list](https://npiprofile.com/npi/1740650555/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 17, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1740650555) · Data from the CMS NPPES public registry.