BANNER GATEWAY MEDICAL CENTER
NPI 1104103555
Durable Medical Equipment & Medical Supplies in Gilbert, AZ
NPI Status: Active since November 14, 2011
Contact Information
2946 E BANNER GATEWAY DRIVE
RM 2008
GILBERT, AZ
ZIP 85234
Phone: (480) 256-6444
- Organization
- Durable Medical Equipment & Medical Supp...
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 03D1067232
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 02-25-2026
About BANNER GATEWAY MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Banner Gateway Medical Center, a provider established in Gilbert, Arizona operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1104103555 assigned on November 2011. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated June 2025. The provider's
- NPI
- 1104103555
- Provider Legal Name
- BANNER GATEWAY MEDICAL CENTER
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 2946 E BANNER GATEWAY DRIVE RM 2008 GILBERT, AZ 85234
- Location Phone
- (480) 256-6444
- Mailing Address
- 1441 N 12TH ST PHOENIX, AZ 85006
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-14-2011
- Last Update Date
- 06-13-2025
- Code Navigator
Banner Gateway Medical Center is a medicare supplier with PTAN 20564255 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Breast Prostheses and/or Accessories.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- Taxonomy Description
- A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Blue AdvanceHealth Bronze - Neighborhood Network - HMO
- Blue AdvanceHealth Gold - Neighborhood Network - HMO
- Blue AdvanceHealth Silver - Neighborhood Network - HMO
- Blue EverydayHealth Gold - Neighborhood Network - HMO
- Blue EverydayHealth Silver - Neighborhood Network - HMO
- Blue Portfolio HSA Bronze - Neighborhood Network - HMO
- Blue Portfolio HSA Gold - Statewide PPO Network - PPO
- Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
- Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Silver - Statewide PPO Network - PPO
- Blue StandardHealth Bronze - Neighborhood Network - HMO
- Blue StandardHealth Gold - Neighborhood Network - HMO
- Blue StandardHealth Silver - Neighborhood Network - HMO
- Bronze Classic 4700 - HMO
- Bronze Classic Standard - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Gold Classic - HMO
- Gold Classic Standard - HMO
- Secure - HMO
- Silver Classic Standard - HMO
- Silver Elite Saver Plus - HMO
- Silver Simple Chronic Care CKM - HMO
- Silver Simple PCP Saver - HMO
- Silver Simple Specialist Saver with COPD - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20564255
- Accepts Medicare Assignment
- YES
- Specialities List
- Medical Supply Company Other.
- Competitive Bidding
- NO
Supplies List
- Breast Prostheses and/or Accessories - Prosthetic bra, Surgical bra
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D1067232
- Facility Type
- Hospital
- Certificate Effective Date
- February 26, 2024
- Certificate Expiration Date
- February 25, 2026
- Laboratory Director
- DR. BRYCE L. DURSTELER
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Banner Gateway Medical Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 1 | 0 | 3 | 5 | 5 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 2 | 0 | 6 | 5 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 2 + 0 + 6 + 5 + 1 + 0 + 24 = 45 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 45 = 5 | 5 | ||||||||
The NPI number 1104103555 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1750390456 | MARK BRENNER DO Individual | Urology | 2946 E BANNER GATEWAY DRIVE GILBERT, AZ 85234 (480) 256-6444 |
| 1386685915 | MRS. SANDRA GAIL KLINE NP Individual | Clinical Nurse Specialist (Oncology) | 2946 E BANNER GATEWAY DRIVE GILBERT, AZ 85234 (480) 256-3430 |
| 1518458694 | SHARON MARTIN NP Individual | Nurse Practitioner (Family) | 2946 E BANNER GATEWAY DRIVE GILBERT, AZ 85234 (480) 256-3430 |
| 1902284599 | MR. ROBERT MICHAEL ELLIS NP Individual | Nurse Practitioner (Family) | 2946 E BANNER GATEWAY DRIVE GILBERT, AZ 85234 (480) 256-6444 |
| 1003958539 | DR. AHMED AL-NIAIMI MD Individual | Obstetrics & Gynecology (Gynecologic Oncology) | 2946 E BANNER GATEWAY DRIVE GILBERT, AZ 85234 (480) 256-6444 |
| 1326521980 | KAITLYN LEAHEY PA-C Individual | Physician Assistant | 2946 E BANNER GATEWAY DRIVE GILBERT, AZ 85234 (480) 256-6444 |
| 1326609173 | KRISTIN N OEHLER APRN;FNP-C Individual | Nurse Practitioner | 2946 E BANNER GATEWAY DRIVE GILBERT, AZ 85234 (480) 256-6444 |
| 1770119083 | JACOB PETER WHITNEY PA-C Individual | Physician Assistant | 2946 E BANNER GATEWAY DRIVE GILBERT, AZ 85234 (480) 256-6444 |
| 1336330869 | DR. STEVEN M WISE MD Individual | Radiology (Diagnostic Radiology) | 2946 E BANNER GATEWAY DRIVE GILBERT, AZ 85234 (480) 256-6444 |
| 1356782221 | DR. WYATT UNGER MD Individual | Radiology (Diagnostic Radiology) | 2946 E BANNER GATEWAY DRIVE GILBERT, AZ 85234 (480) 256-6444 |
| 1649423708 | DR. GAUTAMY CHITIKI DHADHAM MD;MBBS Individual | Internal Medicine (Gastroenterology) | 2946 E BANNER GATEWAY DRIVE GILBERT, AZ 85234 (480) 256-6444 |
| 1225681620 | MRS. MCKENZIE MOMBERGER PA-C Individual | Physician Assistant | 2946 E BANNER GATEWAY DRIVE GILBERT, AZ 85234 (480) 256-6444 |
| 1346682119 | AUDRA LYNN ZACHMAN DNP Individual | Nurse Practitioner (Women's Health) | 2946 E BANNER GATEWAY DRIVE GILBERT, AZ 85234 (480) 256-6444 |
| 1386185734 | RAMYA TADIPATRI MD Individual | Psychiatry & Neurology (Neurology) | 2946 E BANNER GATEWAY DRIVE GILBERT, AZ 85234 (480) 256-6444 |
| 1124748413 | AVIGAYIL MALIA TANAMI PA Individual | Physician Assistant (Surgical) | 2946 E BANNER GATEWAY DRIVE GILBERT, AZ 85234 (480) 256-6444 |
| 1215034913 | DR. RYAN ANDREW MACKE M.D. Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2946 E BANNER GATEWAY DRIVE GILBERT, AZ 85234 (480) 256-6444 |
| 1275252728 | BONNIE LIN PA Individual | Physician Assistant | 2946 E BANNER GATEWAY DRIVE GILBERT, AZ 85234 (480) 256-6444 |
| 1275975435 | BRITTANY LYNN MURPHY MD Individual | Surgery | 2946 E BANNER GATEWAY DRIVE GILBERT, AZ 85234 (480) 256-6444 |
| 1790424968 | JACKELINE LUCIA SEPULVEDA PA Individual | Physician Assistant | 2946 E BANNER GATEWAY DRIVE GILBERT, AZ 85234 (480) 256-6444 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104103555, enumerated in the NPI registry as an "organization" on November 14, 2011
The provider is located at 2946 E Banner Gateway Drive Rm 2008 Gilbert, Az 85234 and the phone number is (480) 256-6444
This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X
The provider might be accepting Accepts: Ambetter from Arizona Complete Health,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 03D1067232 for a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on November 14, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.