Active NPI
Banner -- University Primary Care Physicians LLC
- Primary Care Clinic/Center
- Payson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- BANNER -- UNIVERSITY PRIMARY CARE PHYSICIANS LLC
- Practice address
- 807 S Ponderosa St
Payson, AZ 85541-5542 - Phone
- (928) 471-3222
- NPI assigned
- Oct 6, 2015
- Last updated
- Apr 13, 2026
- Organization subpart
- Yes
- Parent organization
- BANNER UNIVERSITY MEDICAL GROUP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benjamin Schwartz
- Title
- Ceo
- Phone
- (602) 747-4000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
807 S Ponderosa St
Payson, AZ 85541-5542
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Phone (602) 747-4000
Other practice location 1
4200 E Camelback Rd Ste 202
Phoenix, AZ 85018-2718
Phone (602) 229-2200
Other practice location 2
1300 N 12th St Ste 500
Phoenix, AZ 85006-2849
Phone (602) 839-4567
Other practice location 3
1300 N 12th St Ste 605&608
Phoenix, AZ 85006-2848
Phone (602) 839-4567
Other practice location 4
1300 N 12th St Ste 508
Phoenix, AZ 85006-2849
Phone (602) 839-3927
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D0944984 | Banner - University Primary Care Physicians LLC | Provider-performed microscopy | Apr 22, 2028 |
| 03D0957416 | Banner - University Primary Care Physicians LLC | Certificate of waiver | Oct 8, 2026 |
| 03D2303550 | Banner - University Primary Care Physicians LLC | Provider-performed microscopy | Apr 25, 2028 |
National Provider Directory
National Provider Directory- Part of
- Universtiy Phys
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Banner Hospice of Northern Colorado
- Community Based Hospice Care Agency
- Greeley, CO
- NPI 1407409964
Member Of
Locations
8510 W Deer Valley Rd
Ste C2
Peoria, AZ 85382
37100 N Gantzel Rd
Ste 201
San Tan Vly, AZ 85140
Phone (480) 394-4469
Practitioners & affiliated clinicians
Practitioners 84
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1487395448
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1861417271
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1609158799
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1609003755
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1083674154
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1639533227
-
- Internal Medicine Physician
- Mesa, AZ
- NPI 1851970297
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Phoenix, AZ
- NPI 1538788781
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1790281046
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1093456071
-
- Family Medicine Physician
- Tucson, AZ
- NPI 1689103509
-
- Internal Medicine Physician
- Gilbert, AZ
- NPI 1679754592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776038400000",
"number": "1154791960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 N CENTRAL AVE STE 160",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122702",
"telephone_number": "602-747-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 S PONDEROSA ST",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855415542",
"telephone_number": "928-471-3222"
}
],
"practiceLocations": [
{
"address_1": "4200 E Camelback Rd Ste 202",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850182718",
"country_code": "US",
"telephone_number": "602-229-2200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1300 N 12th St Ste 500",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850062849",
"country_code": "US",
"telephone_number": "602-839-4567",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1300 N 12th St Ste 605&608",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850062848",
"country_code": "US",
"telephone_number": "602-839-4567",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1300 N 12th St Ste 508",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850062849",
"country_code": "US",
"telephone_number": "602-839-3927",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BANNER -- UNIVERSITY PRIMARY CARE PHYSICIANS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BANNER UNIVERSITY MEDICAL GROUP",
"enumeration_date": "2015-10-06",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A",
"authorized_official_last_name": "SCHWARTZ",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "602-747-4000"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Payson, AZ
- Rachel Denise Armstrong, CPNP
- Assisted Living Concepts Inc (Powell House)
- Melissa Marie Avery, RN
- Jessica L Balcom, FNP-C
- Matthew Balls, DO
- Banner Cancer Center Specialists LLC
- Banner Good Samaritan Liver Disease Center
- Banner Health (Banner Payson Medical Center)
- Banner Health (Banner Payson Medical Center)
- Banner Health (Banner Payson Medical Center - Banner Health Clinic Payson)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.