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San Raban

Physician Assistant β€’ Gilbert, AZ

Active NPI 1104693191 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

2946 E Banner Gateway Dr
Gilbert, AZ 852342165

Call 4802566444 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2946 E Banner Gateway Dr

Gilbert, AZ 852342165

Telephone 4802566444
Fax 4802564734
Organization at the Same NPPES Address or Phone
Banner Pharmacy Services Llc Facility NPI 1306231139

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Banner Cancer Center Specialists Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2024

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

San Raban has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists San Raban as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Gilbert and Arizona

237 active clinicians are listed under Physician Assistant with a practice address in Gilbert, AZ (3,673 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gilbert

17.7% of these 237 clinicians have the CMS telehealth indicator.

70.5% of these 237 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-06-25
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20250819002950

Enrollment State Jurisdiction

AZ

PECOS Control ID

0749789428

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Banner Cancer Center Specialists Llc

925 E Mcdowell Rd, Phoenix, AZ 850062502

Phone: 6025213700

Banner Cancer Center Specialists Llc

2946 E Banner Gateway Dr, Gilbert, AZ 852342165

Phone: 4802566444

Banner Cancer Center Specialists Llc

2946 E Banner Gateway Dr, Gilbert, AZ 852342165

Phone: 4802566444

Banner Cancer Center Specialists Llc

1900 N Higley Rd, Gilbert, AZ 852341604

Phone: 4805432000

Banner Cancer Center Specialists Llc

1111 E Mcdowell Rd, Phoenix, AZ 850062612

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Patrick Allred , MS, PA-C

Physician Assistant - Medical

NPI 1023559184

Master of Science, Physician Assistant (Certified)

Dr. Ahmed Al-Niaimi , MD

Obstetrics & Gynecology - Gynecologic Oncology

NPI 1003958539

Doctor of Medicine (M.D.)

Jamie Anderson , PA-C

Physician Assistant - Surgical

NPI 1154896058

Physician Assistant (Certified)

Marisa Andrade , NP

Nurse Practitioner - Acute Care

NPI 1144743899

Nurse Practitioner

Alexandria Barnes , PA-C

Physician Assistant - Medical

NPI 1053782664

Physician Assistant (Certified)

Dr. Akshaar Brahmbhatt , MD

Radiology - Vascular & Interventional Radiology

NPI 1033564356

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location June 25, 2025

Registered at 2946 E BANNER GATEWAY DR, GILBERT, AZ 852342165 (Tel: 4802566444)

πŸ“
Updated Business Mailing Address June 25, 2025

Registered at 2946 E BANNER GATEWAY DR, GILBERT, AZ 852342165 (Tel: 4802566444)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2025

Physician Assistant

βœ…
NPI Profile Active December 08, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 08, 2023

Registered at 1439 E WAHALLA LN, PHOENIX, AZ 850243659 (Tel: 4806840926)

πŸ“
Business Mailing Address (Initial Record) December 08, 2023

Registered at 1439 E WAHALLA LN, PHOENIX, AZ 850243659 (Tel: 4806840926)

πŸ‘€
Provider Name / Credentials (Initial Record) December 08, 2023

Recorded as SAN RABAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2023

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration December 08, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104693191
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 08, 2023
Last Update: June 25, 2025
Sole Proprietor: Yes

Other Physician Assistants in Gilbert

All Physician Assistants in Gilbert

Mailing Address

2946 E Banner Gateway Dr

Gilbert, AZ 852342165

Phone: 4802566444

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.