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BANNER PHOENIX SURGERY CENTER LLC
NPI 1770008922
Clinic/Center - Ambulatory Surgical in Phoenix, AZ

Active since August 09, 2017CLIA 03D0526294 · Waiver
1111 E MCDOWELL RD STE B, PHOENIX, AZ 85006(602) 368-3854(602) 865-7261 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 17, 2026, Dec 17, 2024, Dec 27, 2021 and 2 more (5 updates tracked since 2017).

About Banner Phoenix Surgery Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BANNER PHOENIX SURGERY CENTER LLC (NPI 1770008922) is a healthcare organization registered as an ambulatory surgical in Phoenix, Arizona and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through December 28, 2027 and lists Patrick Penrose, Vp, as its authorized official.

NPPES Registry Identity

NPI1770008922
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBANNER PHOENIX SURGERY CENTER LLC
Location Address1111 E MCDOWELL RD STE BPhoenix, AZ 85006-2612
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(602) 368-3854
Fax(602) 865-7261
Organization SubpartYesParent: Banner Health
Authorized OfficialPatrick PenroseVp · (602) 747-4000
Enumeration DateAugust 9, 2017
Last NPPES UpdateApril 17, 20265 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
✔ NPI 1770008922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1111 E MCDOWELL RD STE B, Phoenix, AZ 85006
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..Insurance ›

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 03D0526294

Banner Phoenix Surgery Center LLC · Phoenix, AZ
Active · expires Dec 28, 2027
CLIA Number03D0526294
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 29, 2025
Certificate Expiration DateDecember 28, 2027
Laboratory DirectorTimothy Smith
Laboratory Phone(602) 368-3854
Laboratory LocationBanner Phoenix Surgery Center LLC1111 E Mcdowell Rd Ste B, Phoenix, AZ 85006
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
4,389 services30 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
97 services66 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
63 services63 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
44 services44 patients
Removal or exploration of parathyroid glands 60500
The procedure for removal or exploration of parathyroid glands involves a surgeon making a small incision in the neck to locate and remove one or more of the tiny parathyroid glands. These glands control calcium levels in the body. This procedure helps treat conditions like hyperparathyroidism.
28 services28 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
16 services16 patients

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 Phoenix Surgery Center LLC's NPI number?

The NPI number for Banner Phoenix Surgery Center LLC is 1770008922. It was assigned to this organization in the NPPES registry on August 9, 2017.

Where is Banner Phoenix Surgery Center LLC located?

Banner Phoenix Surgery Center LLC is located at 1111 E Mcdowell Rd Ste B, Phoenix, AZ 85006. The listed phone number is (602) 368-3854.

What is Banner Phoenix Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Banner Phoenix Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0526294) is associated with this NPI, valid through December 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Banner Phoenix Surgery Center LLC accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Banner Phoenix Surgery Center 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 Phoenix Surgery Center LLC was last updated on April 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.