Banner Primary Care Physicians Arizona LLC
Durable Medical Equipment & Medical Supplies in Peoria, AZ. Organization (NPI-2).
NPI number1093083503
StatusActive
Last updated in NPPESApr 15, 2026
Details
- NPI
- 1093083503
- Entity type
- Organization (NPI-2)
- Legal business name
- Banner Primary Care Physicians Arizona LLC
- Organization subpart
- Yes
- Enumeration date
- Dec 12, 2011
- Certification date
- Apr 15, 2026
- Last updated
- Apr 15, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
13640 N Plaza Del Rio BlvdPeoria, AZ 85381-4846
Phone 623-876-3800
Mailing address
2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone 602-747-4000
Authorized official
Shiva Birdi
Ceo
6027474000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 30 Durable Medical Equipment & Medical Supplies providers in Peoria · All 3,876 providers in Peoria
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