Banner Medical Group Care Gap LLC
NPI 1942058672 · Multi-Specialty Clinic/Center · Phoenix, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Banner Medical Group Care Gap LLC is a Multi-Specialty Clinic/Center organization in Phoenix, AZ (NPI 1942058672).
Provider details
- NPI number
- 1942058672
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Banner Health
- Organization subpart
- Yes
- Authorized official
- Shiva Birdi, Ceo/Bmg(602) 747-4000
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 4720 E Greenway RdPhoenix, AZ 85032-4355Phone: (602) 439-6000
Registry dates
- Enumerated
- 2024-05-08
- Last updated
- 2026-04-20
- Certified
- 2026-04-20
Frequently asked questions
- What is Banner Medical Group Care Gap LLC's NPI number?
- Banner Medical Group Care Gap LLC's National Provider Identifier (NPI) is 1942058672, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Banner Medical Group Care Gap LLC?
- Banner Medical Group Care Gap LLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Banner Medical Group Care Gap LLC located?
- Banner Medical Group Care Gap LLC's practice location on file with NPPES is 2901 N Central Ave Ste 160, Phoenix, AZ 85012-2702.
- What is Banner Medical Group Care Gap LLC's phone number?
- The practice phone number listed in the NPPES registry for Banner Medical Group Care Gap LLC is (602) 747-4000.
- Does Banner Medical Group Care Gap LLC accept Medicare?
- Banner Medical Group Care Gap LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Banner Medical Group Care Gap LLC?
- The authorized official listed on Banner Medical Group Care Gap LLC's NPPES record is Shiva Birdi, Ceo/Bmg. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Banner Medical Group Care Gap LLC's NPI active?
- Yes — Banner Medical Group Care Gap LLC's NPI (1942058672) is active in the NPPES registry as of the last update on 2026-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.