Banner Health

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

BANNER HEALTH

Doing business as

Banner Ocotillo Medical Center

Practice address

1405 S Alma School Rd
Chandler, AZ 85286-7144

Phone

(480) 256-7000

NPI assigned

Mar 20, 2020

Last updated

Apr 3, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Robertson

Title

Ceo

Phone

(480) 256-7000

Specialties & licenses 1

Addresses

Other names 1

• Banner Ocotillo Medical Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972139004. Details of each certification follow.

• CCN 030147 Hospital · Active · Details

Hospital certification: CCN 030147

Legal name

BANNER HEALTH

Doing business as

BANNER OCOTILLO MEDICAL CENTER

Certification status

Active

Provider type (POS)

Hospital – Short-term

Participating since

Nov 17, 2020

Last certification

Nov 17, 2020

Beds

94

Ownership / control type

Private (not for profit)

Organization structure

OtherNon-profit

Enrollment address

1405 S Alma School Rd
Chandler, AZ 85286-7144
Main/Primary Hospital Location

Hospital subgroups

Acute care

Other NPIs with the same Medicare PAC ID 10

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

• Banner Health

  dba Banner Casa Grande Medical Center

  • General Acute Care Hospital
  • Casa Grande, AZ
  • NPI 1003232976

  9537078365

  Same PAC ID
• Banner Health

  dba Banner Payson Medical Center

  • Critical Access Hospital
  • Payson, AZ
  • NPI 1063923340

  9537078365

  Same PAC ID
• Banner Health

  dba Banner Payson Medical Center - Banner Health Clinic Payson

  • Rural Health Clinic/Center
  • Payson, AZ
  • NPI 1073223012

  9537078365

  Same PAC ID
• Banner Health

  dba Banner Payson Medical Center - Banner Health Clinic Pine

  • Rural Health Clinic/Center
  • Pine, AZ
  • NPI 1245940287

  9537078365

  Same PAC ID
• Banner Health

  dba Banner Payson Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Payson, AZ
  • NPI 1861077414

  9537078365

  Same PAC ID
• Banner Health

  • Multi-Specialty Clinic/Center
  • Susanville, CA
  • NPI 1205267549

  9537078365

  Same PAC ID
• Banner Health

  dba Banner Hospice of Northern Colorado

  • Community Based Hospice Care Agency
  • Greeley, CO
  • NPI 1407409964

  9537078365

  Same PAC ID
• Banner Health

  • Radiology Clinic/Center
  • Susanville, CA
  • NPI 1427740570

  9537078365

  Same PAC ID
• Banner Health

  • Durable Medical Equipment & Medical Supplies
  • Casper, WY
  • NPI 1528846912

  9537078365

  Same PAC ID
• Banner Health

  dba Banner Fort Collins Medical Center

  • General Acute Care Hospital
  • Fort Collins, CO
  • NPI 1659787554

  9537078365

  Same PAC ID

Listed as

Banner Ocotillo Medical CenterCCN 030147 · All quality measures

Overall star rating

3 of 5

Type

Acute Care Hospitals

Ownership

Voluntary non-profit - Private

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

Yes

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

CLIA laboratory certificates

Tax ID family

M E Lee MD28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

• Banner Estrella Medical Center

  • Nursing Care Agency
  • Phoenix, AZ
  • NPI 1538584628
  NPD tax ID
• Banner Good Samaritan

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1598927592
  NPD tax ID
• Banner Health

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1013130145
  NPD tax ID
• Banner Health

  dba Banner Payson Medical Center

  • Critical Access Hospital
  • Payson, AZ
  • NPI 1063923340
  NPD tax ID
• Banner Health

  dba Banner Payson Medical Center - Banner Health Clinic Pine

  • Rural Health Clinic/Center
  • Pine, AZ
  • NPI 1245940287
  NPD tax ID
• Banner Health

  dba Good Samaritan Medicine Residency 12th St

  • Non-Pharmacy Dispensing Site
  • Phoenix, AZ
  • NPI 1316358013
  NPD tax ID
• Banner Health

  dba Banner Health Clinic- Tempe

  • Non-Pharmacy Dispensing Site
  • Tempe, AZ
  • NPI 1316375801
  NPD tax ID
• Banner Health

  dba Banner Health Clinic-32nd St Internal Medicine

  • Non-Pharmacy Dispensing Site
  • Phoenix, AZ
  • NPI 1326476813
  NPD tax ID
• Banner Health

  dba Banner Health Center Peoria

  • Non-Pharmacy Dispensing Site
  • Peoria, AZ
  • NPI 1396156139
  NPD tax ID
• Banner Health

  dba Banner Good Samaritan Op Clinic Pharmacy

  • Clinic Pharmacy
  • Phoenix, AZ
  • NPI 1497848824
  NPD tax ID
• Banner Health

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1538402995
  NPD tax ID
• Banner Health

  dba Banner Occupational Health Services

  • Non-Pharmacy Dispensing Site
  • Phoenix, AZ
  • NPI 1588098313
  NPD tax ID

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 11

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Banner Health

  dba Banner Casa Grande Medical Center

  • General Acute Care Hospital
  • Casa Grande, AZ
  • NPI 1003232976

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Banner Health

  dba Banner Payson Medical Center

  • Critical Access Hospital
  • Payson, AZ
  • NPI 1063923340

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Banner Health

  dba Banner Payson Medical Center - Banner Health Clinic Payson

  • Rural Health Clinic/Center
  • Payson, AZ
  • NPI 1073223012

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Banner Health

  dba Banner Payson Medical Center - Banner Health Clinic Pine

  • Rural Health Clinic/Center
  • Pine, AZ
  • NPI 1245940287

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Banner Health

  dba Banner Payson Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Payson, AZ
  • NPI 1861077414

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Marjorie Bessel, MD

  • Internal Medicine Physician
  • Gilbert, AZ
  • NPI 1710002068

  Corporate Officer

  CMS ownership
• Banner Health

  • Multi-Specialty Clinic/Center
  • Susanville, CA
  • NPI 1205267549

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Banner Health

  dba Banner Hospice of Northern Colorado

  • Community Based Hospice Care Agency
  • Greeley, CO
  • NPI 1407409964

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Banner Health

  • Radiology Clinic/Center
  • Susanville, CA
  • NPI 1427740570

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Banner Health

  • Durable Medical Equipment & Medical Supplies
  • Casper, WY
  • NPI 1528846912

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Banner Health

  dba Banner Fort Collins Medical Center

  • General Acute Care Hospital
  • Fort Collins, CO
  • NPI 1659787554

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership

All facility ownership & control disclosures 60

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 79

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Banner - University Medical Center Phoenix

  • Psychiatric Hospital Unit
  • Phoenix, AZ
  • NPI 1629122171

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Banner - University Medical Center Phoenix

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1841224870

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Banner - University Medical Center South Campus LLC

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1558759498

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Banner - University Medical Center South Campus LLC

  • Psychiatric Hospital Unit
  • Tucson, AZ
  • NPI 1801284617

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Banner - University Medical Center South Campus LLC

  • Nutrition Education Nutritionist
  • Tucson, AZ
  • NPI 1922660182

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Banner - University Medical Center Tucson Campus LLC

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1265820179

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Banner - University Medical Center Tucson Campus LLC

  • Nutrition Education Nutritionist
  • Tucson, AZ
  • NPI 1861102881

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Banner Baywood Medical Center

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1194758284

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Banner Behavioral Health Hospital

  • Psychiatric Hospital
  • Scottsdale, AZ
  • NPI 1942319199

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Banner Boswell Medical Center

  • General Acute Care Hospital
  • Sun City, AZ
  • NPI 1952560914

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Banner del E Webb Medical Center

  • General Acute Care Hospital
  • Sun City West, AZ
  • NPI 1588823553

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Banner del E Webb Medical Center

  • Psychiatric Hospital Unit
  • Sun City West, AZ
  • NPI 1588825848

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 59

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Banner - University Medical Center Phoenix

  • Psychiatric Hospital Unit
  • Phoenix, AZ
  • NPI 1629122171

  Banner Health

  CMS ownership
• Banner - University Medical Center Phoenix

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1841224870

  Banner Health

  CMS ownership
• Banner - University Medical Center South Campus LLC

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1558759498

  Banner Health

  CMS ownership
• Banner - University Medical Center South Campus LLC

  • Psychiatric Hospital Unit
  • Tucson, AZ
  • NPI 1801284617

  Banner Health

  CMS ownership
• Banner - University Medical Center Tucson Campus LLC

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1265820179

  Banner Health

  CMS ownership
• Banner Baywood Medical Center

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1194758284

  Banner Health

  CMS ownership
• Banner Behavioral Health Hospital

  • Psychiatric Hospital
  • Scottsdale, AZ
  • NPI 1942319199

  Banner Health

  CMS ownership
• Banner Boswell Medical Center

  • General Acute Care Hospital
  • Sun City, AZ
  • NPI 1952560914

  Banner Health

  CMS ownership
• Banner del E Webb Medical Center

  • General Acute Care Hospital
  • Sun City West, AZ
  • NPI 1588823553

  Banner Health

  CMS ownership
• Banner del E Webb Medical Center

  • Psychiatric Hospital Unit
  • Sun City West, AZ
  • NPI 1588825848

  Banner Health

  CMS ownership
• Banner Desert Medical Center

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1720011810

  Banner Health

  CMS ownership
• Banner Estrella Medical Center

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1275566200

  Banner Health

  CMS ownership

Practitioners 39

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.

• Matthew Evan Abrams, MD

  • Neonatal-Perinatal Medicine Physician
  • Phoenix, AZ
  • NPI 1255395844
  NPD (past)
• Danielle Lee Allen-Herried, DO

  • Obstetrics & Gynecology Physician
  • Chandler, AZ
  • NPI 1285121061
  NPD (past)
• Amanda R Bailey, D.O.

  • Internal Medicine Physician
  • Chandler, AZ
  • NPI 1750837456
  NPD (past)
• David Bebawy, M.D.

  • Hospitalist Physician
  • Chandler, AZ
  • NPI 1003128885
  NPD (past)
• Andres Manuel Biaggi Hernandez, MD

  • Obstetrics & Gynecology Physician
  • Gilbert, AZ
  • NPI 1467953075
  NPD (past)
• Christine Marie Brass-Jones, D.O.

  • Obstetrics & Gynecology Physician
  • Tempe, AZ
  • NPI 1659336105
  NPD (past)
• Stephanie Marie Castrillo

  • Neonatal-Perinatal Medicine Physician
  • Phoenix, AZ
  • NPI 1730336447
  NPD (past)
• Precious Gaddis

  • Obstetrics & Gynecology Physician
  • Casa Grande, AZ
  • NPI 1235592270
  NPD (past)
• Jeffrey S Izenberg, D.O.

  • Obstetrics & Gynecology Physician
  • Mesa, AZ
  • NPI 1285670984
  NPD (past)
• Esther King, MD

  • Neonatal-Perinatal Medicine Physician
  • Mesa, AZ
  • NPI 1992234736
  NPD (past)
• Roshan Ramesh Lala, M.D.

  • Hospitalist Physician
  • Sun City West, AZ
  • NPI 1053654590
  NPD (past)
• Wilfredo Alexander Lopez, MD

  • Obstetrics Physician
  • Casa Grande, AZ
  • NPI 1013595891
  NPD (past)

Affiliated clinicians 148

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Irfan Ahmed, MD

  • Nephrology Physician
  • Chandler, AZ
  • NPI 1750540498

  Hospital

  Care Compare affiliation
• Mohamad Wissam Al-Baghdadi, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Glendale, AZ
  • NPI 1790773844

  Hospital

  Care Compare affiliation
• Colby J Alexander, CRNA

  • Certified Registered Nurse Anesthetist
  • Gilbert, AZ
  • NPI 1710091343

  Hospital

  Care Compare affiliation
• Mouhsen H Alhakeem, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Mesa, AZ
  • NPI 1003934175

  Hospital

  Care Compare affiliation
• Suleiman Ali, MD

  • Pulmonary Disease Physician
  • Phoenix, AZ
  • NPI 1316019532

  Hospital

  Care Compare affiliation
• Taylor Allen Anderson, PA-C

  • Physician Assistant
  • Gilbert, AZ
  • NPI 1437037686

  Hospital

  Care Compare affiliation
• Kariappa Appachu, MD

  • Nephrology Physician
  • Tempe, AZ
  • NPI 1942504683

  Hospital

  Care Compare affiliation
• Anthony Howard Arnett, CRNA

  • Certified Registered Nurse Anesthetist
  • Phoenix, AZ
  • NPI 1841814894

  Hospital

  Care Compare affiliation
• Faisal A Bahadur, M.D.

  • Interventional Cardiology Physician
  • Chandler, AZ
  • NPI 1144421355

  Hospital

  Care Compare affiliation
• Amanda R Bailey, D.O.

  • Internal Medicine Physician
  • Chandler, AZ
  • NPI 1750837456

  Hospital

  Care Compare affiliation
• Ojas Bansal, M.B.B.S.

  • Cardiovascular Disease Physician
  • Mesa, AZ
  • NPI 1467766410

  Hospital

  Care Compare affiliation
• Emmanuel A Bayongan, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Mesa, AZ
  • NPI 1003808668

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1972139004",
    "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",
            "telephone_number": "602-747-4000",
            "fax_number": "602-747-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 S ALMA SCHOOL RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852867144",
            "telephone_number": "480-256-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNER HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-20",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-256-7000"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Banner Ocotillo Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Banner Ocotillo Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deb K Banerjee, MD
• Monica Monidipa Banerjee, MD
• Amanda Grace Banford
• Jeremy Banks, CLINICIAN I
• Tracy M Banks, ND
• Banner Occupational Health Arizona LLC
• Banner Pharmacy Services LLC (Banner Family Pharmacy - Chandler)
• Banner Physician Specialists Arizona LLC
• Banner Physician Specialists Arizona LLC
• Banner Primary Care Physicians Arizona LLC

• General Acute Care Hospital in Chandler, AZ
• Providers in Chandler, AZ by specialty
• General Acute Care Hospital in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.