Active NPI
Banner Estrella Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Phoenix, AZ
National Provider Identifier
1881113785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- BANNER ESTRELLA SURGERY CENTER LLC
- Practice address
- 9301 W Thomas Rd
Phoenix, AZ 85037-3327 - Phone
- (623) 213-7407
- Fax
- (602) 926-2731
- NPI assigned
- Sep 12, 2017
- Organization subpart
- Yes
- Parent organization
- BANNER HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Todd Werner
- Title
- President, Care Delivery
- Phone
- (602) 747-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
9301 W Thomas Rd
Phoenix, AZ 85037-3327
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171122002662 | AZ | Part B Supplier - Ambulatory Surgical Center | 2567729742 | Practice locations: Phoenix, AZ |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Banner Estrella Surgery Center LLC
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Part of
- M E Lee MD
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Banner Payson Medical Center
- Critical Access Hospital
- Payson, AZ
- NPI 1063923340
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741564800000",
"number": "1881113785",
"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": "9301 W THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850373327",
"telephone_number": "623-213-7407",
"fax_number": "602-926-2731"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BANNER ESTRELLA SURGERY CENTER LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BANNER HEALTH",
"enumeration_date": "2017-09-12",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A",
"authorized_official_last_name": "WERNER",
"authorized_official_first_name": "TODD",
"authorized_official_title_or_position": "PRESIDENT, CARE DELIVERY",
"authorized_official_telephone_number": "602-747-4000"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
- Banner Estrella Medical Center
- Banner Estrella Medical Center
- Banner Estrella Medical Center
- Banner Estrella Surgery Center
- Banner Estrella Surgery Center
- Banner Executive Health LLC
- Banner Family Pharmacy
- Banner Family Pharmacy (Banner Family Pharmacy - Estrella)
- Banner Good Samaritan
- Banner Good Samaritan Bariatric Program
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.