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Banner - University Super Specialists LLC

Organization Active NPI Multi-Specialty Clinic/Center · Phoenix, AZ

NPI 1740650555 · NPPES record last updated Apr 17, 2026

Key facts

NPI
1740650555
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
Legal business name
BANNER - UNIVERSITY SUPER SPECIALISTS LLC
Practice address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Phone
(602) 747-4000
NPI assigned
Oct 6, 2015
Organization subpart
Yes
Parent organization (as reported)
BANNER UNIVERSITY MEDICAL GROUP

Authorized official

Name
Benjamin Schwartz NPI 1235164120
Title
President
Phone
(602) 747-4000

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Member of 2

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

Practitioners 94

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 94

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2111776Banner-University Super Specialists LLC
755 E McDowell Rd, Phoenix, AZ 85006		Certificate of waiverApr 13, 2028
03D2117601Banner - University Super Specialists LLC
1441 N 12TH St, 2ND Floor, Phoenix, AZ 85006		Certificate of waiverAug 18, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AZ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20160204002443 AZ Part B Supplier - Clinic/Group Practice 1850695255 Receives reassigned benefits from 90 practitioners
Practice locations: Phoenix, AZ; Glendale, AZ; Mesa, AZ

National Provider Directory

Part of
Alison T Stopeck MD

Locations

1441 N 12th St
#22
Phoenix, AZ 85006

2600 N Wyatt Dr
Tucson, AZ 85712
Phone (520) 324-3600

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Yes
Oncology Clinic/Center 261QX0200X
General Acute Care Hospital 282N00000X

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

1441 N 12th St
2 & 3 Floors
Phoenix, AZ 85006-2837
Phone (844) 242-4664

Other practice location 2

5757 W Thunderbird Rd Ste E250
Glendale, AZ 85306-5613
Phone (602) 865-4470

Other practice location 3

755 E McDowell Rd
Phoenix, AZ 85006-2506
Phone (602) 521-3086

Other practice location 4

1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (480) 412-3000

Other practice location 5

1432 S Dobson Rd Ste 107
Mesa, AZ 85202-4769
Phone (480) 412-4100

Other providers in Phoenix, AZ

All providers in Phoenix, AZ · Multi-Specialty Clinic/Center in Arizona

Sources for this page

Verify at the official NPI Registry.