Organization Active NPI

Banner Baywood Medical Center

  • General Acute Care Hospital
  • Mesa, AZ
National Provider Identifier
1194758284
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H155 Issued in AZ
Legal business name
BANNER BAYWOOD MEDICAL CENTER
Practice address
6644 E Baywood Ave
Mesa, AZ 85206-1747
Phone
(480) 321-2000
NPI assigned
Jul 9, 2006
Last updated
Apr 15, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BANNER HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Scherpf
Title
Ceo
Phone
(602) 747-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H155 AZ Primary

Addresses

Primary practice location

6644 E Baywood Ave
Mesa, AZ 85206-1747

Mailing address

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Phone (602) 747-4000

Other identifiers 2

IdentifierTypeStateIssuer
309725MedicaidAZ
021618MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC / Office Ally

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030429000019 AZ Part A Provider - Hospital 5395655195 Practice locations: Mesa, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194758284. Details of each certification follow.

Hospital certification: CCN 030088

Legal name
BANNER BAYWOOD MEDICAL CENTER
Doing business as
BANNER BAYWOOD MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Dec 29, 1983
Last certification
Oct 9, 2019
Beds
359
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
6644 E Baywood Ave
Mesa, AZ 85206-1747
Main/Primary Hospital Location
Hospital subgroups
Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Banner Baywood Medical CenterCCN 030088 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Custer Comm Hosp Rad

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3900 5th Ave
Ste 140
San Diego, CA 92103
Phone (858) 355-9887

Ownership & related parties

All disclosed owners & managing parties 25

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Julie Ann Alvarado-Dubek Individual Corporate OfficerOfficer Feb 1, 2022
Marjorie J Bessel Individual Corporate OfficerOfficer Jan 1, 2018
Jean Lance Individual Corporate OfficerClo Jun 30, 2022
Staci Dickerson Individual Corporate OfficerCfo Jul 17, 2023
W-2 Managing EmployeeCfo Jul 17, 2023
Carole Faig Individual Corporate DirectorBoard Member Mar 1, 2026
Paris Labruzzo Individual Corporate DirectorSr Director Dec 7, 2022
W-2 Managing Employee Dec 7, 2022
Dean M Harrison Individual Corporate DirectorBoard Member Sep 1, 2023
Anne Mariucci Individual Corporate OfficerOfficer Mar 1, 2015
Sujata Gosalia Individual Corporate DirectorDirector Sep 1, 2018
Brenda a Schaefer Individual Corporate OfficerTreasurer Mar 6, 2014
Quentin P Smith Individual Corporate DirectorBoard Member Sep 1, 1999
Vicki Keiser Individual Corporate DirectorBoard Member Jun 1, 2017
Holly Gregory Individual Corporate DirectorSr Manager Jul 27, 2020
W-2 Managing Employee Jul 27, 2020
Sara Ward Individual Corporate DirectorBoard Member Sep 1, 2023
Christine Rosini Individual Corporate DirectorSpecialist Jul 24, 2020
W-2 Managing Employee Jul 24, 2020
Michael L Butler Individual Corporate DirectorBoard Member Sep 1, 2025
Mary Schubert Individual Corporate OfficerAssistant Secretary Jan 1, 2024
Amy Perry Individual Corporate OfficerOfficer Nov 1, 2021
Rick Myers Individual Corporate DirectorDirector Sep 1, 2023
John F Koster Individual Corporate OfficerOfficer Dec 11, 2015
Mark Wallace Individual Corporate DirectorDirector Sep 1, 2021
Christopher H Volk Individual Corporate DirectorBoard Member Dec 9, 2009
Michael Garnreiter Individual Corporate DirectorBoard Member Aug 1, 2012
John Scherpf Individual Corporate DirectorCeo Mar 20, 2026
W-2 Managing Employee Mar 20, 2026
Banner Health Organization, Phoenix, AZ Corporation, Non-profit 5% Or Greater Direct Ownership Interest May 1, 2003 100%
Operational/Managerial Control May 1, 2003 100%

Owners & managing parties with NPI records 12

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 59

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 59

Practitioners & affiliated clinicians

Practitioners 87

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.

View all 87

Affiliated clinicians 602

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 602

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1194758284",
    "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": "6644 E BAYWOOD AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061747",
            "telephone_number": "480-321-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNER BAYWOOD MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER HEALTH",
        "enumeration_date": "2006-07-09",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "SCHERPF",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AZ",
            "license": "H155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "309725",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021618",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.