Banner Childrens Banner Health Clinic Llc - Medicare Primary Care in Phoenix, AZ

Banner Childrens Banner Health Clinic Llc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Phoenix, Arizona. The current practice location for Banner Childrens Banner Health Clinic Llc is 2901 N Central Ave Ste 160, Phoenix, Arizona. For appointments, you can reach them via phone at (602) 747-4000. The mailing address for Banner Childrens Banner Health Clinic Llc is 2901 N Central Ave Ste 160, Phoenix, Arizona and phone number is () -.

Banner Childrens Banner Health Clinic Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1407191216. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (602) 747-4000.

Contact Information

Banner Childrens Banner Health Clinic Llc
2901 N Central Ave Ste 160
Phoenix
AZ 85012-2702
(602) 747-4000
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameBanner Childrens Banner Health Clinic Llc
SpecialityClinic/Center
Location2901 N Central Ave Ste 160, Phoenix, Arizona
Authorized Official Name and PositionShiva Birdi (CEO)
Authorized Official Contact6027474000
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Banner Childrens Banner Health Clinic Llc
2901 N Central Ave Ste 160
Phoenix
AZ 85012-2702

Ph: () -
Banner Childrens Banner Health Clinic Llc
2901 N Central Ave Ste 160
Phoenix
AZ 85012-2702

Ph: (602) 747-4000

NPI Details:

NPI Number1407191216
Provider Enumeration Date12/05/2012
Last Update Date09/13/2024

Medicare PECOS Information:

Medicare PECOS PAC ID2466697735
Medicare Enrollment IDO20130315000131

Medical Identifiers

Medical identifiers for Banner Childrens Banner Health Clinic Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407191216NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (Not Available))Secondary
261QP2300XClinic/center - Primary Care (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Banner Childrens Banner Health Clinic Llc acts as a billing entity for following providers:
Provider NameKelly F England
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1679563282
PECOS PAC ID: 2264421478
Enrollment ID: I20040511001246
Provider NameFarha N Khan
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1073584611
PECOS PAC ID: 6901824754
Enrollment ID: I20051109001172
Provider NameMarcela Cristea
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1013999226
PECOS PAC ID: 8123033677
Enrollment ID: I20060220000553
Provider NameJohn G Sarmiento
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1598743478
PECOS PAC ID: 9133287238
Enrollment ID: I20081017000637
Provider NameGina D Montion
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1366435612
PECOS PAC ID: 2062551336
Enrollment ID: I20100111000771
Provider NameZafar Quadir
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1457371759
PECOS PAC ID: 7113943002
Enrollment ID: I20110421000613
Provider NameDawn M Sorenson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1821246091
PECOS PAC ID: 4385801554
Enrollment ID: I20120131000859
Provider NameAlyson Boone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467772434
PECOS PAC ID: 8224289731
Enrollment ID: I20121109000472
Provider NameMichelle D Allen
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1902896590
PECOS PAC ID: 2466697503
Enrollment ID: I20130320000771
Provider NameRuben O Espinoza
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1164621470
PECOS PAC ID: 8022253186
Enrollment ID: I20130321000167
Provider NameTracy Frausto
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1164527396
PECOS PAC ID: 3375788433
Enrollment ID: I20130321000198
Provider NameBrenda M Kronborg
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1801886163
PECOS PAC ID: 2264677228
Enrollment ID: I20130321000236
Provider NameMehdi Salek
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1215903836
PECOS PAC ID: 2466697420
Enrollment ID: I20130321000323
Provider NameJoseph L Werther
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1629096458
PECOS PAC ID: 5092950063
Enrollment ID: I20130321000345
Provider NameTrupti V Amin-chapman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1164412854
PECOS PAC ID: 6709021777
Enrollment ID: I20130321000372
Provider NameManu Bhakoo
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1518952373
PECOS PAC ID: 9335195403
Enrollment ID: I20130325000381
Provider NameWendy L Lorenzen
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1386634954
PECOS PAC ID: 5496990384
Enrollment ID: I20130325000520
Provider NameScott S Schnee
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1255330973
PECOS PAC ID: 0143465625
Enrollment ID: I20130404000312
Provider NameSuzanne J Nielsen
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1457526030
PECOS PAC ID: 9537306782
Enrollment ID: I20130508000310
Provider NameRussell Horton
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1780996967
PECOS PAC ID: 9537308663
Enrollment ID: I20130620000196
Provider NameJaclyn M Kepski
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1538484357
PECOS PAC ID: 3375782410
Enrollment ID: I20130620000406
Provider NameCarlos J Ventura
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174842884
PECOS PAC ID: 4082856745
Enrollment ID: I20130808000176
Provider NameJonathan M Jones
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1982826855
PECOS PAC ID: 9537318209
Enrollment ID: I20150929000646
Provider NameMelinda Lawrence
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487026167
PECOS PAC ID: 9638470511
Enrollment ID: I20151217002534
Provider NameAaron Gomez
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1932442712
PECOS PAC ID: 4981995875
Enrollment ID: I20160623002159
Provider NameKojasteh M Ghaziaskar
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1881663441
PECOS PAC ID: 4385930742
Enrollment ID: I20160910000284
Provider NameNurul Hariadi
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1881875037
PECOS PAC ID: 1951699495
Enrollment ID: I20161016000001
Provider NameJacquelyn Pichette
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891161055
PECOS PAC ID: 9830470954
Enrollment ID: I20170104001550
Provider NameRandi Michelle Herman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962947770
PECOS PAC ID: 4688958325
Enrollment ID: I20170224001640
Provider NameMwela Njabi Asombang
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1184937989
PECOS PAC ID: 5294030698
Enrollment ID: I20170518002865
Provider NameJames Roy Stangle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790206159
PECOS PAC ID: 1850651050
Enrollment ID: I20180208000973
Provider NameAngela Do Feng
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144684036
PECOS PAC ID: 7315235231
Enrollment ID: I20190712002924
Provider NameSaisho Mangla
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1235543919
PECOS PAC ID: 6507083060
Enrollment ID: I20191006000018
Provider NameVirginia Burford Hatch-pigott
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1457325664
PECOS PAC ID: 0547227175
Enrollment ID: I20191016000566
Provider NameJamie Quintana
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1962675264
PECOS PAC ID: 5092882530
Enrollment ID: I20200520001548
Provider NameZaydee Montano Rivera
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1427579754
PECOS PAC ID: 4385063577
Enrollment ID: I20201008000924
Provider NameMarta K Szymaszek-cusick
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1578094603
PECOS PAC ID: 6103237359
Enrollment ID: I20201119002871
Provider NameRenee A Mercer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467816058
PECOS PAC ID: 1153696877
Enrollment ID: I20201210000914
Provider NameJoshua Eberhard
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1073923793
PECOS PAC ID: 5193093326
Enrollment ID: I20210127001431
Provider NameCourtney Agliano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417431586
PECOS PAC ID: 3971919796
Enrollment ID: I20210302003239
Provider NameJarrett Riley
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1255623732
PECOS PAC ID: 5193941946
Enrollment ID: I20210423001808
Provider NameTanya Pitts
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1124062435
PECOS PAC ID: 9830140441
Enrollment ID: I20210426002920
Provider NameJoseph Robert Armstrong
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1134625486
PECOS PAC ID: 1153722939
Enrollment ID: I20210630003053
Provider NameDavid Lar
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1962636845
PECOS PAC ID: 7416103841
Enrollment ID: I20210701000809
Provider NameMarie Christianne Sandhya Ravi Chandar
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1386130060
PECOS PAC ID: 8325395098
Enrollment ID: I20210831002092
Provider NameJulia Gray Farber
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1356873996
PECOS PAC ID: 1557752995
Enrollment ID: I20211220001650
Provider NameMaria C Martin
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1720585805
PECOS PAC ID: 8123417755
Enrollment ID: I20220616002415
Provider NameBreeane R. Wazney
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1538722822
PECOS PAC ID: 0840523346
Enrollment ID: I20220701000767
Provider NameBeau Gordon Palmer
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1497217517
PECOS PAC ID: 3779965702
Enrollment ID: I20220808000462
Provider NameJalaja Gundrathi
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1699126771
PECOS PAC ID: 2466780499
Enrollment ID: I20220817003687
Provider NameHolly P Jastak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023541869
PECOS PAC ID: 0446583330
Enrollment ID: I20220921001547
Provider NameMeggan Ann Murphy Roman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1871122861
PECOS PAC ID: 4880055078
Enrollment ID: I20230803004413
Provider NameKrishnamraju Kosuru
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1013204296
PECOS PAC ID: 2264743053
Enrollment ID: I20240611003569

Reviews and Comments


Clinic/Center in Phoenix, AZ

Richard A. Snider, Md, Pc
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Medicare: Not Enrolled in Medicare
Practice Location: 12010 S Warner Elliot Loop, Phoenix, AZ 85044
Phone: 480-893-2644    
Kelly H. Roy, Md, Pc
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Medicare: Medicare Enrolled
Practice Location: 1008 E Mcdowell Rd, Phoenix, AZ 85006
Phone: 602-358-8588    Fax: 602-688-6991
My Family Doctor In The Valley Pllc
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Medicare: Not Enrolled in Medicare
Practice Location: 11030 N Tatum Blvd, Ste 101, Phoenix, AZ 85028
Phone: 602-687-8265    
Deborah L Dykema Do Pc
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Medicare: Not Enrolled in Medicare
Practice Location: 20045 N 19th Ave Bldg 9-151, Phoenix, AZ 85027
Phone: 602-978-1555    
Scottsdale Housecall Physicians, Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 11030 N Tatum Blvd Ste 101, Phoenix, AZ 85028
Phone: 602-687-8265    
Wings Of Hope Medical Services, Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 11022 N 28th Dr Ste 205, Phoenix, AZ 85029
Phone: 602-971-0304    Fax: 602-971-0305
Sheperd Care
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 9150 W Indian School Rd Ste 111b, Phoenix, AZ 85037
Phone: 623-247-2300    Fax: 623-247-1939

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.