Banner -- University Primary Care Physicians Llc - Medicare Primary Care in Phoenix, AZ

Banner -- University Primary Care Physicians Llc is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Phoenix, Arizona. The current practice location for Banner -- University Primary Care Physicians Llc is 1111 E Mcdowell Rd, Phoenix, Arizona. For appointments, you can reach them via phone at (602) 839-2000. The mailing address for Banner -- University Primary Care Physicians Llc is 2901 N Central Ave Ste 160, Phoenix, Arizona and phone number is (602) 747-4000.

Banner -- University Primary Care Physicians Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1154791960. 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) 839-2000.

Contact Information

Banner -- University Primary Care Physicians Llc
1111 E Mcdowell Rd
Phoenix
AZ 85006-2612
(602) 839-2000
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameBanner -- University Primary Care Physicians Llc
SpecialityClinic/Center
Location1111 E Mcdowell Rd, Phoenix, Arizona
Authorized Official Name and PositionVenkata Evani (BUMG CEO)
Authorized Official Contact6025215935
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Banner -- University Primary Care Physicians Llc
2901 N Central Ave Ste 160
Phoenix
AZ 85012-2702

Ph: (602) 747-4000
Banner -- University Primary Care Physicians Llc
1111 E Mcdowell Rd
Phoenix
AZ 85006-2612

Ph: (602) 839-2000

NPI Details:

NPI Number1154791960
Provider Enumeration Date10/06/2015
Last Update Date07/26/2024

Medicare PECOS Information:

Medicare PECOS PAC ID2365746450
Medicare Enrollment IDO20160210001728

Medical Identifiers

Medical identifiers for Banner -- University Primary Care Physicians Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154791960NPI-NPPES
086588MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (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 -- University Primary Care Physicians Llc acts as a billing entity for following providers:
Provider NameDiem Thuy N Kahlon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851365688
PECOS PAC ID: 9436050044
Enrollment ID: I20040121001021
Provider NameRobyn L Prosser
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1669441408
PECOS PAC ID: 1153316724
Enrollment ID: I20040415000111
Provider NameWilliam W Holland
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831192590
PECOS PAC ID: 3173511300
Enrollment ID: I20040505000556
Provider NameCheryl R Buyama
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164491510
PECOS PAC ID: 2062402506
Enrollment ID: I20040515000523
Provider NameCheryl W Omalley
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1588633226
PECOS PAC ID: 3375518392
Enrollment ID: I20040901000597
Provider NameKam D Hunter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285673822
PECOS PAC ID: 5991773772
Enrollment ID: I20040920000717
Provider NameMaria Manriquez-sanchez
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1417900952
PECOS PAC ID: 8527052901
Enrollment ID: I20041022001086
Provider NameBrett A Roeder
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1134116700
PECOS PAC ID: 1850378407
Enrollment ID: I20050421000530
Provider NameAyrn D Oconnor
Provider TypePractitioner - Medical Toxicology
Provider IdentifiersNPI Number: 1194785063
PECOS PAC ID: 5294771481
Enrollment ID: I20050628000830
Provider NameSteven R Brown
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083674154
PECOS PAC ID: 7517994130
Enrollment ID: I20050725001099
Provider NameSteven J Bowley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639164650
PECOS PAC ID: 6709805989
Enrollment ID: I20051116000915
Provider NameMichelle B Huddleston
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164484200
PECOS PAC ID: 8123041456
Enrollment ID: I20060112000335
Provider NameSharry Kay Veres
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831135300
PECOS PAC ID: 4880604008
Enrollment ID: I20060502000395
Provider NameHarvey Hsu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659330769
PECOS PAC ID: 4486665569
Enrollment ID: I20060606000261
Provider NameHeather M Bartz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1861417271
PECOS PAC ID: 5799781050
Enrollment ID: I20061117000101
Provider NameSara C Stimsonriahi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023063450
PECOS PAC ID: 5294734752
Enrollment ID: I20061211000181
Provider NameSusanne G Wild
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972627867
PECOS PAC ID: 8224137237
Enrollment ID: I20070615000269
Provider NameJayne M Peterson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1124084397
PECOS PAC ID: 4880768910
Enrollment ID: I20080807000075
Provider NameLindsay J Grizzle
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336335017
PECOS PAC ID: 2163598921
Enrollment ID: I20080903000193
Provider NameRoger L Mccoy
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1558322297
PECOS PAC ID: 5890887707
Enrollment ID: I20080911000283
Provider NameLee Anne Denny
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891958302
PECOS PAC ID: 7618146127
Enrollment ID: I20110817000462
Provider NameTiffany N Graybill
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1679754592
PECOS PAC ID: 2062565906
Enrollment ID: I20111118000570
Provider NameJason K Leubner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487881546
PECOS PAC ID: 2466618962
Enrollment ID: I20120727000674
Provider NameStephanie M Briney
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609003755
PECOS PAC ID: 9133376692
Enrollment ID: I20120906000120
Provider NameScott D Haferkamp
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497084479
PECOS PAC ID: 1153573738
Enrollment ID: I20121205000293
Provider NameLise K Harper
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205156528
PECOS PAC ID: 3072756188
Enrollment ID: I20130821000197
Provider NameCraig W Heise
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629398912
PECOS PAC ID: 9234364050
Enrollment ID: I20131104000990
Provider NameNimit K Agarwal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811155245
PECOS PAC ID: 8820140684
Enrollment ID: I20131231001856
Provider NameNeychelle Rocca
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063645778
PECOS PAC ID: 6305095811
Enrollment ID: I20140116001702
Provider NameSarah W Thomas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841578986
PECOS PAC ID: 2365765153
Enrollment ID: I20141231001646
Provider NameRishi Basnyat
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1609158799
PECOS PAC ID: 2567770159
Enrollment ID: I20150930003462
Provider NameAngel L Chu-peterson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366811010
PECOS PAC ID: 9335448315
Enrollment ID: I20160425002643
Provider NameDana Archbold
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003254566
PECOS PAC ID: 9133173669
Enrollment ID: I20160623000176
Provider NameJacob S Anderson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558708792
PECOS PAC ID: 9830481274
Enrollment ID: I20160706000672
Provider NameYasir Abdulqader
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184955395
PECOS PAC ID: 5799058640
Enrollment ID: I20170829002117
Provider NameLinnet Sebastian
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659801223
PECOS PAC ID: 6305102278
Enrollment ID: I20171108003539
Provider NameJennifer S Nelson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1932528056
PECOS PAC ID: 3971858077
Enrollment ID: I20180613001815
Provider NameEvan F Werk
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184036774
PECOS PAC ID: 8022365311
Enrollment ID: I20180718000450
Provider NameKristen J Young
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881089274
PECOS PAC ID: 6103190426
Enrollment ID: I20180719004113
Provider NameLeah Margaret Hillier
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306318340
PECOS PAC ID: 4688917545
Enrollment ID: I20190515003052
Provider NameMatthew A Schmidgall
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912361387
PECOS PAC ID: 0941570121
Enrollment ID: I20190607001666
Provider NameJenna Leigh Buchanan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639533227
PECOS PAC ID: 4688944119
Enrollment ID: I20190610000495
Provider NameJordan Merz
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1710373725
PECOS PAC ID: 7416280979
Enrollment ID: I20190614002574
Provider NameVarun Tandon
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1902251903
PECOS PAC ID: 5395031652
Enrollment ID: I20190821000539
Provider NameJoseph Seelbaugh
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275997868
PECOS PAC ID: 0446520944
Enrollment ID: I20190917001165
Provider NameSusan Patricia Anduaga Bocanegra
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316331259
PECOS PAC ID: 6305273640
Enrollment ID: I20200225002965
Provider NameDaniel Alcantar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1730542903
PECOS PAC ID: 2163793654
Enrollment ID: I20200624001716
Provider NamePaul Gomez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427582972
PECOS PAC ID: 3274958822
Enrollment ID: I20200730001137
Provider NameNathanael Adjei-kyeremeh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134651896
PECOS PAC ID: 6608291679
Enrollment ID: I20200807001438
Provider NameViktoria L Krajnc
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073047098
PECOS PAC ID: 9739452624
Enrollment ID: I20200810001690
Provider NameFreya Spielberg
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467664607
PECOS PAC ID: 9537248836
Enrollment ID: I20210622003533
Provider NameKiana M Espinosa
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790281046
PECOS PAC ID: 1355693896
Enrollment ID: I20210817004127
Provider NameRichard Bigler
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487018495
PECOS PAC ID: 5890190037
Enrollment ID: I20210825003380
Provider NameJulia Gray Farber
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1356873996
PECOS PAC ID: 1557752995
Enrollment ID: I20211220001650
Provider NameSonia Teresa Brunson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003408303
PECOS PAC ID: 8820489891
Enrollment ID: I20211229002472
Provider NameMohamed B Abdelhabib
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184287161
PECOS PAC ID: 8426382227
Enrollment ID: I20220420000420
Provider NameKrista Regina Labruzzo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871099127
PECOS PAC ID: 8820341704
Enrollment ID: I20220526002161
Provider NameMaria C Martin
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1720585805
PECOS PAC ID: 8123417755
Enrollment ID: I20220616002415
Provider NameElizabeth A Rowland
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306409313
PECOS PAC ID: 8921334335
Enrollment ID: I20220705002641
Provider NameGenevieve Lambert
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1306343611
PECOS PAC ID: 4183977069
Enrollment ID: I20220713003519
Provider NameNaomi Catton Newman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013470541
PECOS PAC ID: 3274923495
Enrollment ID: I20220901002459
Provider NameKelly Lynn Marcello
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699270462
PECOS PAC ID: 1850647397
Enrollment ID: I20230203001828
Provider NamePierce Lewien
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295354983
PECOS PAC ID: 2264855444
Enrollment ID: I20230628003617
Provider NameAhsan Shahid Kamal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306465646
PECOS PAC ID: 4981027034
Enrollment ID: I20230630000361
Provider NameTara Marie Lanzendorf
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295354470
PECOS PAC ID: 2062803364
Enrollment ID: I20230707003217
Provider NameKaelin Meesook Bernier
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205455326
PECOS PAC ID: 0244652212
Enrollment ID: I20230807001669
Provider NameTiffany Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265121222
PECOS PAC ID: 1759743552
Enrollment ID: I20230810002508
Provider NameElizabeth M Batterton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639435266
PECOS PAC ID: 4587959598
Enrollment ID: I20230823001923
Provider NameGeorge Van Nguyen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629698907
PECOS PAC ID: 7012331119
Enrollment ID: I20230908000831
Provider NameCory Robert Whale
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1487031373
PECOS PAC ID: 6406113554
Enrollment ID: I20231017003516
Provider NameJennifer Meyfeldt
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326544701
PECOS PAC ID: 1254681398
Enrollment ID: I20240614001450

Reviews and Comments


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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.