NPIMap

Organization Active NPI

Banner Primary Care Physicians Arizona LLC

  • Primary Care Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1659640902
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
Practice address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Phone
(602) 747-4000
NPI assigned
Dec 15, 2011
Last updated
Apr 17, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BANNER MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Authorized official

Name
Shiva Birdi
Title
Ceo
Phone
(602) 747-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702

Mailing address

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702

Other practice location 1

807 S Ponderosa St
Payson, AZ 85541-5542
Phone (928) 471-3222

Other practice location 2

37100 N Gantzel Rd Ste 201
Queen Creek, AZ 85140-7352
Phone (928) 596-4500

Other practice location 3

6152 W Hardscrabble Mesa Rd
Pine, AZ 85544-5238
Phone (928) 596-4848

Other practice location 4

1780 E Florence Blvd Ste 108
Casa Grande, AZ 85122-4782
Phone (520) 381-6090

Other practice location 5

1811 E McMurray Blvd
Casa Grande, AZ 85122-5404
Phone (520) 374-6530

Other practice location 6

3235 N Hunt Hwy Ste 103
Florence, AZ 85132-6898
Phone (520) 233-2770

Other practice location 7

1075 S Idaho Rd Ste 206
Apache Junction, AZ 85119-6405
Phone (480) 827-5005

Other practice location 8

17900 N Porter Rd
Maricopa, AZ 85138-4228
Phone (520) 233-2500

Other practice location 9

120 E Main St Ste A
Payson, AZ 85541-5618
Phone (928) 596-4700

Other practice location 10

1760 E Florence Blvd Ste 100
Casa Grande, AZ 85122-4765
Phone (520) 374-6505

Other identifiers 2

IdentifierTypeStateIssuer
646019MedicaidAZ
1417238908OtherMEDICAID NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111115000898 AZ Part B Supplier - Clinic/Group Practice 6406020155 Receives reassigned benefits from 280 practitioners
4 other NPIs on this enrollment
Practice locations: Page, AZ; Payson, AZ; Peoria, AZ; Phoenix, AZ; Goodyear, AZ; Queen Creek, AZ; San Tan Valley, AZ; Scottsdale, AZ…

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Tiffany Weathers

Member of 1

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

Locations

1075 S Idaho Rd
Ste 206
Apache Junction, AZ 85119
Phone (480) 827-5005

1780 E Florence Blvd
Ste 108
Casa Grande, AZ 85122
Phone (520) 381-6090

1435 S Alma School Rd
Chandler, AZ 85286
Phone (480) 668-1600

2474 E Hunt Hwy
Ste 10
San Tan Valley, AZ 85143
Phone (480) 543-6680

37100 N Gantzel Rd
Ste 201
San Tan Vly, AZ 85140
Phone (480) 394-4469

Practitioners & affiliated clinicians

Practitioners 327

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 327

NPI Registry JSON

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1659640902",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 N CENTRAL AVE STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122702",
            "telephone_number": "602-747-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "807 S Ponderosa St",
            "address_purpose": "LOCATION",
            "city": "Payson",
            "state": "AZ",
            "postal_code": "855415542",
            "country_code": "US",
            "telephone_number": "928-471-3222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37100 N Gantzel Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851407352",
            "country_code": "US",
            "telephone_number": "928-596-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6152 W Hardscrabble Mesa Rd",
            "address_purpose": "LOCATION",
            "city": "Pine",
            "state": "AZ",
            "postal_code": "855445238",
            "country_code": "US",
            "telephone_number": "928-596-4848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1780 E Florence Blvd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851224782",
            "country_code": "US",
            "telephone_number": "520-381-6090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1811 E McMurray Blvd",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851225404",
            "country_code": "US",
            "telephone_number": "520-374-6530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3235 N Hunt Hwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AZ",
            "postal_code": "851326898",
            "country_code": "US",
            "telephone_number": "520-233-2770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1075 S Idaho Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Apache Junction",
            "state": "AZ",
            "postal_code": "851196405",
            "country_code": "US",
            "telephone_number": "480-827-5005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17900 N Porter Rd",
            "address_purpose": "LOCATION",
            "city": "Maricopa",
            "state": "AZ",
            "postal_code": "851384228",
            "country_code": "US",
            "telephone_number": "520-233-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 E Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Payson",
            "state": "AZ",
            "postal_code": "855415618",
            "country_code": "US",
            "telephone_number": "928-596-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1760 E Florence Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851224765",
            "country_code": "US",
            "telephone_number": "520-374-6505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER MEDICAL GROUP",
        "enumeration_date": "2011-12-15",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "BIRDI",
        "authorized_official_first_name": "SHIVA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "646019",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID NPI",
            "identifier": "1417238908",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.