BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
NPI 1972351815
Durable Medical Equipment & Medical Supplies in Surprise, AZ
NPI Status: Active since May 07, 2024
Contact Information
13995 W STATLER BLVD STE 200
SURPRISE, AZ
ZIP 85374
Phone: (602) 747-4000
- Organization
- Durable Medical Equipment & Medical Supp...
- Accepts Insurance
- CLIA Number: 03D2045875
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-20-2026
About BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
This page provides the complete NPI Profile along with additional information for Banner Physician Specialists Arizona Llc, a provider established in Surprise, Arizona operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1972351815 assigned on May 2024. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Shiva Birdi (Ceo/bmg)
- NPI
- 1972351815
- Provider Name
- BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
- Entity Type
- Organization
- Location Address
- 13995 W STATLER BLVD STE 200 SURPRISE, AZ 85374
- Location Phone
- (602) 747-4000
- Mailing Address
- 2901 N CENTRAL AVE STE 160 PHOENIX, AZ 85012
- Mailing Phone
- (602) 747-4000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-07-2024
- Last Update Date
- 09-06-2024
- Code Navigator
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
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 03D2045875
- Facility Type
- Physician Office
- Certificate Effective Date
- August 21, 2024
- Certificate Expiration Date
- August 20, 2026
- Laboratory Director
- LURLYN PERO-ANDERSON
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Banner Physician Specialists Arizona Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
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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 | 9 | 7 | 2 | 3 | 5 | 1 | 8 | 1 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 14 | 2 | 6 | 5 | 2 | 8 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 4 + 2 + 6 + 5 + 2 + 8 + 2 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1972351815 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 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1790065282 | DR. STEPHANIE NICOLAI PSYD Individual | Psychologist (Clinical) | 13995 W STATLER BLVD STE 200 SURPRISE, AZ 85374 (623) 478-3100 |
| 1780358440 | NATHAN TIRRELL PA-C Individual | Physician Assistant | 13995 W STATLER BLVD STE 200 SURPRISE, AZ 85374 (623) 478-3100 |
| 1578094603 | MARTA KAROLINA SZYMASZEK-CUSICK M.D. Individual | Pediatrics | 13995 W STATLER BLVD STE 200 SURPRISE, AZ 85374 (623) 478-3100 |
| 1174979330 | GURVINDER SINGH DHALIWAL M.D. Individual | Family Medicine | 13995 W STATLER BLVD STE 200 SURPRISE, AZ 85374 (623) 478-3100 |
| 1114714821 | FNU SWATI Individual | Student in an Organized Health Care Education/Training Program | 13995 W STATLER BLVD STE 200 SURPRISE, AZ 85374 (602) 478-3100 |
| 1184411738 | ERNESTO INIGUEZ JR. MD Individual | Student in an Organized Health Care Education/Training Program | 13995 W STATLER BLVD STE 200 SURPRISE, AZ 85374 (602) 478-3100 |
| 1568259216 | OMAR BAGHDADI MD Individual | Student in an Organized Health Care Education/Training Program | 13995 W STATLER BLVD STE 200 SURPRISE, AZ 85374 (602) 478-3100 |
| 1780471854 | AVYAY SANTOSH REDDY MD Individual | Student in an Organized Health Care Education/Training Program | 13995 W STATLER BLVD STE 200 SURPRISE, AZ 85374 (602) 478-3100 |
| 1851188023 | ANGELO SOUKOVELOS MD Individual | Student in an Organized Health Care Education/Training Program | 13995 W STATLER BLVD STE 200 SURPRISE, AZ 85374 (602) 478-3100 |
| 1881481893 | DR. EMILY ANGELES MANCINAS DO Individual | Student in an Organized Health Care Education/Training Program | 13995 W STATLER BLVD STE 200 SURPRISE, AZ 85374 (602) 478-3100 |
| 1245878172 | GARIN B BERGESON DO Individual | Family Medicine (Sports Medicine) | 13995 W STATLER BLVD STE 200 SURPRISE, AZ 85374 (623) 876-3870 |
| 1467341347 | LAKSHIYA RAMAMOORTHY Individual | Student in an Organized Health Care Education/Training Program | 13995 W STATLER BLVD STE 200 SURPRISE, AZ 85374 (602) 478-3100 |
| 1528957925 | DR. JORGE MANUEL REYNOSO FIGUEROA MD Individual | Student in an Organized Health Care Education/Training Program | 13995 W STATLER BLVD STE 200 SURPRISE, AZ 85374 (602) 478-3100 |
| 1548057730 | ALESSI AZORES Individual | Student in an Organized Health Care Education/Training Program | 13995 W STATLER BLVD STE 200 SURPRISE, AZ 85374 (602) 478-3100 |
| 1568351609 | DR. JESSEE TIANA TANASIUK MD Individual | Student in an Organized Health Care Education/Training Program | 13995 W STATLER BLVD STE 200 SURPRISE, AZ 85374 (602) 478-3100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972351815, enumerated in the NPI registry as an "organization" on May 07, 2024
The provider is located at 13995 W Statler Blvd Ste 200 Surprise, Az 85374 and the phone number is (602) 747-4000
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 03D2045875 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on May 07, 2024. 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.