BANNER MEDICAL GROUP CARE GAP LLC
NPI 1942058672
Clinic/Center - Multi-Specialty in Phoenix, AZ
About Banner Medical Group Care Gap Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BANNER MEDICAL GROUP CARE GAP LLC (NPI 1942058672) is a healthcare organization registered as a multi-specialty in Phoenix, Arizona and active in the NPI registry since May 2024. The organization maintains a secondary practice location in Phoenix and lists Shiva Birdi, Ceo/bmg, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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 Medical Group Care Gap Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Banner Medical Group Care Gap LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Medical Group Care Gap LLC's NPI number?
The NPI number for Banner Medical Group Care Gap LLC is 1942058672. It was assigned to this organization in the NPPES registry on May 8, 2024.
Where is Banner Medical Group Care Gap LLC located?
Banner Medical Group Care Gap LLC is located at 2901 N Central Ave Ste 160, Phoenix, AZ 85012. The listed phone number is (602) 747-4000.
What is Banner Medical Group Care Gap LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Banner Medical Group Care Gap LLC enrolled in Medicare?
Yes. Banner Medical Group Care Gap LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Banner Medical Group Care Gap LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Banner Medical Group Care Gap 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Banner Medical Group Care Gap LLC accept?
Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Banner Medical Group Care Gap 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 Medical Group Care Gap LLC was last updated on April 20, 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 Medical Group Care Gap Llc · NPI 1942058672
Multi-Specialty organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since May 8, 2024.
## Identity
- **NPI:** 1942058672 (Entity type: Organization)
- **Enumerated:** May 8, 2024
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** Yes (part of Banner Health)
- **Authorized official:** Shiva Birdi, CEO/BMG
## 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:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1942058672) · Data from the CMS NPPES public registry.