NPIMap

Banner Physician Super Specialists Arizona LLC

A Medicare group practice based in Mesa, AZ: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 7911173794), with 205 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7911173794The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Multi-Specialty - Physician, Part B Supplier - Clinic/Group Practice
Enrolled in
AZ
Enrollments
3
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
32In 13 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20250225000909 AZ DME Supplier - Multi-Specialty - Physician 1346062205
O20250407002345 AZ DME Supplier - Multi-Specialty - Physician 1386462810
O20111228000353 AZ Part B Supplier - Clinic/Group Practice 1841573870

NPIs in this group 6

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 205

Page 1 of 3

Clinicians who reassign their Medicare benefits to this group (205) or whom Care Compare lists as members (6).

Sources for this page