BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
NPI 1790306066
Clinic/Center - Primary Care in Phoenix, 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 1790306066) is a healthcare organization registered as a primary care in Phoenix, Arizona and active in the NPI registry since April 2020. The organization maintains a secondary practice location in Page and lists Shiva Birdi, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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. Of these, 32 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 269Phoenix, AZ 85013
Phoenix, AZ 85013
Source: 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 1790306066. It was assigned to this organization in the NPPES registry on April 28, 2020.
Where is Banner Primary Care Physicians Arizona LLC located?
Banner Primary Care Physicians Arizona LLC is located at 2901 N Central Ave Ste 160, Phoenix, AZ 85012. The listed phone number is (602) 747-4000.
What is Banner Primary Care Physicians Arizona LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
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). Of these, 32 practice within 10 miles. 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 September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 1790306066
Primary Care organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since April 28, 2020.
## Identity
- **NPI:** 1790306066 (Entity type: Organization)
- **Enumerated:** April 28, 2020
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** Yes (part of Banner Health)
- **Authorized official:** Shiva Birdi, CEO
## 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:** 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); 32 practice within 10 miles; [full list](https://npiprofile.com/npi/1790306066/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1790306066) · Data from the CMS NPPES public registry.