Organization Active NPI

Banner Physician Specialists Arizona LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1821368218
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
Practice address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Phone
(602) 747-4000
NPI assigned
Jan 3, 2012
Last updated
Jun 24, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BANNER MEDICAL GROUP ARIZONAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 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
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

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

Mailing address

1441 N 12TH St
Phoenix, AZ 85006-2837

Other practice location 1

6553 E Baywood Ave Ste 212
Mesa, AZ 85206-1754
Phone (480) 543-6880

Other practice location 2

6644 E Baywood Ave
Mesa, AZ 85206-1747
Phone (480) 321-2000

Other practice location 3

6750 E Baywood Ave Ste 503
Mesa, AZ 85206-1749
Phone (480) 543-3030

Other practice location 4

7575 E Earll Dr
Scottsdale, AZ 85251-6915
Phone (480) 448-7500

Other practice location 5

7701 W Aspera Blvd
Stes 102, 201, 301
Glendale, AZ 85308-7935
Phone (623) 248-2100

Other practice location 6

9165 W Thunderbird Rd Ste 200
Peoria, AZ 85381-4847
Phone (623) 285-1120

Other practice location 7

9201 W Thomas Rd
Phoenix, AZ 85037-3332
Phone (623) 327-4000

Other practice location 8

13943 N 91st Ave Ste B101
Peoria, AZ 85381-3688
Phone (623) 476-5190

Other practice location 9

13995 W Statler Blvd Bldg 1
Surprise, AZ 85374-5501
Phone (623) 478-3100

Other practice location 10

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

Other practice location 11

1432 S Dobson Rd Ste 304
Mesa, AZ 85202-4773
Phone (480) 412-7400

Other practice location 12

1435 S Alma School Rd
Chandler, AZ 85286-7144
Phone (480) 668-1600

Other practice location 13

14416 W Meeker Blvd
Sun City West, AZ 85375-5284
Phone (623) 876-3800

Other practice location 14

14420 W Meeker Blvd Ste 104
Sun City West, AZ 85375-5287
Phone (623) 583-5300

Other practice location 15

14502 W Meeker Blvd
Sun City West, AZ 85375-5282
Phone (623) 524-4000

Other practice location 16

1520 S Dobson Rd Ste 203
Mesa, AZ 85202-4726
Phone (480) 733-7535

Other practice location 17

1520 S Dobson Rd Ste 206
Mesa, AZ 85202-4753
Phone (480) 412-8080

Other practice location 18

155 E Warner Rd
Gilbert, AZ 85296-3082
Phone (480) 649-6600

Other practice location 19

1900 N Higley Rd
Gilbert, AZ 85234-1604
Phone (480) 543-2688

Other practice location 20

1917 S Crismon Rd
Mesa, AZ 85209-6216
Phone (480) 610-7100

Other practice location 21

1920 N Higley Rd Ste 206
Gilbert, AZ 85234-1624
Phone (480) 543-6700

Other practice location 22

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

Other practice location 23

1125 S Alma School Rd Ste 210
Chandler, AZ 85286-2811
Phone (480) 733-7300

Other practice location 24

1125 S Alma School Rd Ste 310
Chandler, AZ 85286-2812
Phone (480) 733-7305

Other practice location 25

1432 S Dobson Rd Ste 107
Mesa, AZ 85202-4769
Phone (480) 681-4453

Other practice location 26

6750 E Baywood Ave Ste 507
Mesa, AZ 85206-1749
Phone (480) 684-6487

Other practice location 27

1400 S Dobson Rd Ste 100
Mesa, AZ 85202-4707
Phone (833) 924-2019

Other practice location 28

1920 N Higley Rd Ste 308
Gilbert, AZ 85234-1625
Phone (480) 543-6600

Other practice location 29

1940 N Alma School Rd
Chandler, AZ 85224-2841
Phone (480) 890-0280

Other practice location 30

20751 W Market St
Buckeye, AZ 85396-7893
Phone (623) 463-5000

Other practice location 31

21772 S Ellsworth Loop Rd
Queen Creek, AZ 85142-7709
Phone (480) 512-3700

Other practice location 32

4375 E Irma Ln
Phoenix, AZ 85050-4312
Phone (480) 890-5800

Other practice location 33

4530 E Ray Rd Ste 190
Phoenix, AZ 85044-6098
Phone (480) 827-5420

Other practice location 34

4720 E Greenway Rd
Phoenix, AZ 85032-4355
Phone (602) 439-6000

Other practice location 35

5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone (602) 865-5555

Other practice location 36

5601 W Eugie Ave Ste 100
Glendale, AZ 85304-1256
Phone (602) 865-4510

Other practice location 37

5757 W Thunderbird Rd Ste E151
Glendale, AZ 85306-4685
Phone (602) 865-4570

Other practice location 38

5757 W Thunderbird Rd Ste E456
Glendale, AZ 85306-4650
Phone (623) 476-5190

Other practice location 39

6424 E Broadway Rd Ste 105
Mesa, AZ 85206-1750
Phone (480) 684-6487

Other practice location 40

6553 E Baywood Ave Ste 101
Mesa, AZ 85206-1753
Phone (480) 543-6750

Other practice location 41

1300 S Country Club Dr Ste 3
Mesa, AZ 85210-5162
Phone (480) 827-5500

Other practice location 42

1920 N Higley Rd Ste 306
Gilbert, AZ 85234-1625
Phone (480) 543-6700

Other practice location 43

13640 N Plaza Del Rio Blvd
Peoria, AZ 85381-4846
Phone (623) 876-3800

Other practice location 44

9305 W Thomas Rd Ste 360
Phoenix, AZ 85037-3367
Phone (623) 327-8200

Other practice location 45

9305 W Thomas Rd Ste 380
Phoenix, AZ 85037-3368
Phone (623) 327-4144

Other practice location 46

9780 S Estrella Pkwy
Goodyear, AZ 85338-7114
Phone (623) 474-8101

Other practice location 47

7575 E Earll Dr Ste 100
Scottsdale, AZ 85251-6915
Phone (480) 827-5320

Other practice location 48

1800 N Civic Sq Ste 200, 220, 320
Goodyear, AZ 85395-2391
Phone (623) 465-6506

Other practice location 49

10401 W Thunderbird Blvd
Sun City, AZ 85351-3004
Phone (623) 832-4000

Other identifiers 1

IdentifierTypeStateIssuer
646505MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111222000509 AZ Part B Supplier - Clinic/Group Practice 6204002272 Receives reassigned benefits from 669 practitioners
3 other NPIs on this enrollment

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Part of
Tiffany Weathers

Locations

1125 S Alma School Rd
Ste 310
Chandler, AZ 85286
Phone (480) 684-6157

5757 W Thunderbird Rd
Ste E456
Glendale, AZ 85306
Phone (602) 843-1777

7701 W Aspera Blvd
#102
Glendale, AZ 85308

1300 S Country Club Dr
Ste 3
Mesa, AZ 85210
Phone (480) 827-5500

6553 E Baywood Ave
Ste 212
Mesa, AZ 85206
Phone (480) 543-6750

14420 W Meeker Blvd
Ste 104
Sun City West, AZ 85375
Phone (623) 583-5300

Practitioners & affiliated clinicians

Practitioners 669

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 669

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1821368218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 N 12TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062837"
        },
        {
            "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": "6553 E Baywood Ave Ste 212",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852061754",
            "country_code": "US",
            "telephone_number": "480-543-6880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6644 E Baywood Ave",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852061747",
            "country_code": "US",
            "telephone_number": "480-321-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6750 E Baywood Ave Ste 503",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852061749",
            "country_code": "US",
            "telephone_number": "480-543-3030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7575 E Earll Dr",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852516915",
            "country_code": "US",
            "telephone_number": "480-448-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7701 W Aspera Blvd",
            "address_2": "Stes 102, 201, 301",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853087935",
            "country_code": "US",
            "telephone_number": "623-248-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9165 W Thunderbird Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814847",
            "country_code": "US",
            "telephone_number": "623-285-1120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9201 W Thomas Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850373332",
            "country_code": "US",
            "telephone_number": "623-327-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13943 N 91st Ave Ste B101",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853813688",
            "country_code": "US",
            "telephone_number": "623-476-5190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13995 W Statler Blvd Bldg 1",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853745501",
            "country_code": "US",
            "telephone_number": "623-478-3100",
            "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 304",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852024773",
            "country_code": "US",
            "telephone_number": "480-412-7400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1435 S Alma School Rd",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852867144",
            "country_code": "US",
            "telephone_number": "480-668-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14416 W Meeker Blvd",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853755284",
            "country_code": "US",
            "telephone_number": "623-876-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14420 W Meeker Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853755287",
            "country_code": "US",
            "telephone_number": "623-583-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14502 W Meeker Blvd",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853755282",
            "country_code": "US",
            "telephone_number": "623-524-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1520 S Dobson Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852024726",
            "country_code": "US",
            "telephone_number": "480-733-7535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1520 S Dobson Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852024753",
            "country_code": "US",
            "telephone_number": "480-412-8080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 E Warner Rd",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852963082",
            "country_code": "US",
            "telephone_number": "480-649-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 N Higley Rd",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852341604",
            "country_code": "US",
            "telephone_number": "480-543-2688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1917 S Crismon Rd",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852096216",
            "country_code": "US",
            "telephone_number": "480-610-7100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1920 N Higley Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852341624",
            "country_code": "US",
            "telephone_number": "480-543-6700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 E McDowell Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062612",
            "country_code": "US",
            "telephone_number": "602-839-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1125 S Alma School Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852862811",
            "country_code": "US",
            "telephone_number": "480-733-7300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1125 S Alma School Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852862812",
            "country_code": "US",
            "telephone_number": "480-733-7305",
            "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": "480-681-4453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6750 E Baywood Ave Ste 507",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852061749",
            "country_code": "US",
            "telephone_number": "480-684-6487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 S Dobson Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852024707",
            "country_code": "US",
            "telephone_number": "833-924-2019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1920 N Higley Rd Ste 308",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852341625",
            "country_code": "US",
            "telephone_number": "480-543-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1940 N Alma School Rd",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852242841",
            "country_code": "US",
            "telephone_number": "480-890-0280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20751 W Market St",
            "address_purpose": "LOCATION",
            "city": "Buckeye",
            "state": "AZ",
            "postal_code": "853967893",
            "country_code": "US",
            "telephone_number": "623-463-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21772 S Ellsworth Loop Rd",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851427709",
            "country_code": "US",
            "telephone_number": "480-512-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4375 E Irma Ln",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850504312",
            "country_code": "US",
            "telephone_number": "480-890-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4530 E Ray Rd Ste 190",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850446098",
            "country_code": "US",
            "telephone_number": "480-827-5420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4720 E Greenway Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850324355",
            "country_code": "US",
            "telephone_number": "602-439-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5555 W Thunderbird Rd",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853064622",
            "country_code": "US",
            "telephone_number": "602-865-5555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5601 W Eugie Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853041256",
            "country_code": "US",
            "telephone_number": "602-865-4510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5757 W Thunderbird Rd Ste E151",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853064685",
            "country_code": "US",
            "telephone_number": "602-865-4570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5757 W Thunderbird Rd Ste E456",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853064650",
            "country_code": "US",
            "telephone_number": "623-476-5190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6424 E Broadway Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852061750",
            "country_code": "US",
            "telephone_number": "480-684-6487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6553 E Baywood Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852061753",
            "country_code": "US",
            "telephone_number": "480-543-6750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 S Country Club Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852105162",
            "country_code": "US",
            "telephone_number": "480-827-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1920 N Higley Rd Ste 306",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852341625",
            "country_code": "US",
            "telephone_number": "480-543-6700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13640 N Plaza Del Rio Blvd",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814846",
            "country_code": "US",
            "telephone_number": "623-876-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9305 W Thomas Rd Ste 360",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850373367",
            "country_code": "US",
            "telephone_number": "623-327-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9305 W Thomas Rd Ste 380",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850373368",
            "country_code": "US",
            "telephone_number": "623-327-4144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9780 S Estrella Pkwy",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853387114",
            "country_code": "US",
            "telephone_number": "623-474-8101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7575 E Earll Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852516915",
            "country_code": "US",
            "telephone_number": "480-827-5320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 N Civic Sq Ste 200, 220, 320",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853952391",
            "country_code": "US",
            "telephone_number": "623-465-6506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10401 W Thunderbird Blvd",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853513004",
            "country_code": "US",
            "telephone_number": "623-832-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BANNER PHYSICIAN SPECIALISTS ARIZONA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER MEDICAL GROUP ARIZONA",
        "enumeration_date": "2012-01-03",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "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": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "646505",
            "state": "AZ"
        }
    ],
    "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 Jun 24, 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.