BANNER MESA SURGERY CENTER LLC
NPI 1780109934
Clinic/Center - Ambulatory Surgical in Mesa, AZ

Q: What is Banner Mesa Surgery Center LLC's NPI number?

The NPI number for Banner Mesa Surgery Center LLC is 1780109934. It was assigned to this organization in the NPPES registry on August 9, 2017.

Q: What is Banner Mesa Surgery Center LLC's specialty?

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

Active since August 09, 2017CLIA 03D0902788 · Waiver

1500 S DOBSON RD STE 101, MESA, AZ 85202(480) 306-6098(602) 801-3815 Get Directions Write a Review

NPPES record last updated: July 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 26, 2019, Aug 9, 2017 (2 updates tracked since 2017).

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About Banner Mesa Surgery Center Llc NPPES

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

BANNER MESA SURGERY CENTER LLC (NPI 1780109934) is a healthcare organization registered as an ambulatory surgical in Mesa, Arizona and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through June 28, 2027 and lists Matthew Cox, Sr Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1780109934

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameBANNER MESA SURGERY CENTER LLC

Location Address1500 S DOBSON RD STE 101Mesa, AZ 85202-4722

Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702

Phone(480) 306-6098

Fax(602) 801-3815

Organization SubpartYesParent: Banner Health

Authorized OfficialMatthew CoxSr Vp Finance · (602) 747-4000

Enumeration DateAugust 9, 2017

Last NPPES UpdateJuly 26, 20192 updates tracked since enumeration

✔ NPI 1780109934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

1500 S DOBSON RD STE 101, Mesa, AZ 85202

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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. and more.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 03D0902788

Banner Mesa Surgery Center LLC · Mesa, AZ

Active · expires Jun 28, 2027

CLIA Number03D0902788

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJune 29, 2025

Certificate Expiration DateJune 28, 2027

Laboratory DirectorTarek Youseff

Laboratory Phone(480) 412-3590

Laboratory LocationBanner Mesa Surgery Center LLC1500 S Dobson Rd Ste 101, Mesa, AZ 85202

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 19

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.

6,118 services22 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.

495 services345 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

92 services78 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

87 services70 patients

Release of wrist ligament using an endoscope 29848

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

66 services54 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.

65 services65 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

40 services34 patients

Removal of excessive skin and fat of upper eyelid 15823

This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.

32 services16 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.

29 services29 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

23 services22 patients

Removal of nasal air passage under lining tissue 30140

This procedure, often done to improve breathing or address sinus issues, involves the removal of tissue from the lining of the nasal air passage. It's performed under anesthesia and recovery time varies based on individual health status.

22 services11 patients

Removal of bone joints between wrist and fingers 25447

This procedure involves the surgical removal of bone joints between your wrist and fingers. It's typically done to relieve pain or restore function due to conditions like arthritis. After removal, the space may be filled with a graft or artificial joint.

18 services14 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

18 services18 patients

Release and/or relocation of elbow nerve 64718

This procedure involves adjusting the position of a nerve in your elbow to alleviate discomfort or improve function. The nerve is carefully moved from its original location and placed in a less strained position. This can help reduce pain and improve arm movement.

16 services14 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.

13 services13 patients

Removal of growth of tendon finger or hand 26160

This procedure involves the surgical removal of abnormal growths on tendons in the finger or hand. These growths can cause discomfort or restrict movement. The process aims to alleviate pain and restore function to the affected area. It's done under anesthesia.

12 services11 patients

Reshaping of nasal cartilage 30520

Reshaping of nasal cartilage, also known as rhinoplasty, is a surgical procedure to modify the structure of the nose for aesthetic or functional purposes. It involves adjusting the cartilage and bone in the nose to achieve the desired shape or to improve breathing.

12 services12 patients

Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin 0275T

This procedure involves removing a small portion of bone from your lower spine. The goal is to relieve pressure on your nerve tissue, improving comfort and mobility. It is done through the skin using imaging technology to ensure precision and safety.

11 services11 patients

Removal of growth of rectum through anus with removal of a portion of muscle 45172

This procedure involves the removal of an abnormal growth in the rectum. It's done through the anus, with part of the rectum's muscle also being taken out. This helps in preventing the growth from recurring and promotes your overall health.

11 services11 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BANNER DESERT SURGERY CENTER LP

Clinic/Center (Ambulatory Surgical)

1500 S DOBSON RD STE 101
MESA, AZ 85202

Maricopa County (480) 512-3590

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 Mesa Surgery Center LLC's NPI number?

The NPI number for Banner Mesa Surgery Center LLC is 1780109934. It was assigned to this organization in the NPPES registry on August 9, 2017.

Where is Banner Mesa Surgery Center LLC located?

Banner Mesa Surgery Center LLC is located at 1500 S Dobson Rd Ste 101, Mesa, AZ 85202. The listed phone number is (480) 306-6098.

What is Banner Mesa 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 Mesa Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0902788) is associated with this NPI, valid through June 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Banner Mesa Surgery Center LLC accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Banner Mesa 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 Mesa Surgery Center LLC was last updated on July 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.