BANNER HOSPITAL BASED PHYSICIANS WEST LLC
NPI 1942058938
Clinic/Center - Multi-Specialty in Phoenix, AZ

Active since May 07, 2024
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012(602) 747-4000 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Banner Hospital Based Physicians West Llc NPPES

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

BANNER HOSPITAL BASED PHYSICIANS WEST LLC (NPI 1942058938) is a healthcare organization registered as a multi-specialty in Phoenix, Arizona and active in the NPI registry since May 2024. The organization lists Shiva Birdi, Ceo Bmg, as its authorized official.

NPPES Registry Identity

NPI1942058938
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBANNER HOSPITAL BASED PHYSICIANS WEST LLC
Location Address2901 N CENTRAL AVE STE 160Phoenix, AZ 85012-2702
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702 · (602) 747-4000
Organization SubpartYesParent: Banner Health
Authorized OfficialShiva BirdiCeo Bmg · (602) 747-4000
Enumeration DateMay 7, 2024
NPPES CertifiedMay 7, 2024
✔ NPI 1942058938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2901 N CENTRAL AVE STE 160, Phoenix, AZ 85012

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 Hospital Based Physicians West 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 Hospital Based Physicians West LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pediatric Medicine
NPI 1447280532
13123 E 16TH AVE
Aurora, CO 80045
(720) 777-1234
✔ PECOS590 mi

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 Hospital Based Physicians West LLC's NPI number?

The NPI number for Banner Hospital Based Physicians West LLC is 1942058938. It was assigned to this organization in the NPPES registry on May 7, 2024.

Where is Banner Hospital Based Physicians West LLC located?

Banner Hospital Based Physicians West LLC is located at 2901 N Central Ave Ste 160, Phoenix, AZ 85012. The listed phone number is (602) 747-4000.

What is Banner Hospital Based Physicians West LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Banner Hospital Based Physicians West LLC enrolled in Medicare?

Yes. Banner Hospital Based Physicians West LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Banner Hospital Based Physicians West LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pediatric Medicine) reassigns their Medicare billing to Banner Hospital Based Physicians West 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.

When was this NPI record last updated?

The NPPES record for Banner Hospital Based Physicians West LLC was last updated on May 7, 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.