NPIMap

Organization Active NPI

Banner - University Super Specialists LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1740650555
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 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
Last updated
Apr 17, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BANNER UNIVERSITY 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
Benjamin SchwartzNPI 1235164120
Title
President
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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
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

Medicare participation

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

Enrollment records 1

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2111776Banner-University Super Specialists LLC755 E McDowell Rd, Phoenix, AZ 85006Certificate of waiverApr 13, 2028
03D2117601Banner - University Super Specialists LLC1441 N 12TH St, 2ND Floor, Phoenix, AZ 85006Certificate of waiverAug 18, 2026

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.

Locations

1441 N 12th St
#2
Phoenix, AZ 85006
Phone (844) 242-4664

1441 N 12th St
#22
Phoenix, AZ 85006

Practitioners & affiliated clinicians

Practitioners 94

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 94

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": "1776384000000",
    "number": "1740650555",
    "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": "1441 N 12th St",
            "address_2": "2 & 3 Floors",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062837",
            "country_code": "US",
            "telephone_number": "844-242-4664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5757 W Thunderbird Rd Ste E250",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853065613",
            "country_code": "US",
            "telephone_number": "602-865-4470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "755 E McDowell Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062506",
            "country_code": "US",
            "telephone_number": "602-521-3086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 S Dobson Rd",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852024707",
            "country_code": "US",
            "telephone_number": "480-412-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1432 S Dobson Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852024769",
            "country_code": "US",
            "telephone_number": "480-412-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BANNER - UNIVERSITY SUPER SPECIALISTS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER UNIVERSITY MEDICAL GROUP",
        "enumeration_date": "2015-10-06",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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.
  • 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.

Verify at the official NPI Registry.