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RETINAL VITREAL CONSULTANTS LTD
NPI 1164569380
Ophthalmology in Chicago, IL

Active since January 30, 2007CLIA 14D2319266 · Waiver
2600 S MICHIGAN AVE, STE 212, CHICAGO, IL 60616(312) 567-2795(800) 707-4890 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 5, 2023, Jan 11, 2023, Dec 6, 2021 and 2 more (5 updates tracked since 2020).

About Retinal Vitreal Consultants Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RETINAL VITREAL CONSULTANTS LTD (NPI 1164569380) is a healthcare organization registered as an ophthalmology in Chicago, Illinois and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through February 25, 2027, maintains 2 additional practice locations, and lists Shaun T Ittiara, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1164569380
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameRETINAL VITREAL CONSULTANTS LTD
Location Address2600 S MICHIGAN AVE, STE 212Chicago, IL 60616-2859
Mailing AddressPo Box 166516Chicago, IL 60616-6516 · (312) 567-2795 · Fax (800) 707-4890
Phone(312) 567-2795
Fax(800) 707-4890
Organization SubpartNo
Authorized OfficialShaun T IttiaraAuthorized Official · (312) 567-2795
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJuly 5, 20235 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
✔ NPI 1164569380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X
2600 S MICHIGAN AVE, Chicago, IL 60616
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13241 S Michigan AveChicago, IL 60616-4201 · Phone (312) 949-7221 · Fax (312) 949-7667
Location 24429 W 95th StOak Lawn, IL 60453-2625 · Phone (708) 422-2665 · Fax (708) 422-2997

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Retinal Vitreal Consultants Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Retinal Vitreal Consultants Ltd, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Paulpoj Chiranand, MD
Ophthalmology
NPI 1639377260
2600 S MICHIGAN AVE STE 212
Chicago, IL 60616
(312) 567-2795
✔ PECOS✔ Accepts MedicareSame address
Shaun Ittiara, M.D.
Ophthalmology
NPI 1992995542
2600 S MICHIGAN AVE STE 212
Chicago, IL 60616
(312) 567-2795
✔ PECOS✔ Accepts MedicareSame address
Obadah Moushmoush, MD
Ophthalmology
NPI 1861020281
2600 S MICHIGAN AVE STE 212
Chicago, IL 60616
(312) 567-2795
✔ PECOS✔ Accepts MedicareSame address
James Liang, M.D.
Ophthalmology
NPI 1578541983
4429 W 95TH ST
Oak Lawn, IL 60453
(708) 422-2665
✔ PECOS✔ Accepts Medicare10 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2319266

Retinal Vitreal Consultants · Chicago, IL
Active · expires Feb 25, 2027
CLIA Number14D2319266
Laboratory TypePhysician Office
Certificate Effective DateFebruary 26, 2025
Certificate Expiration DateFebruary 25, 2027
Laboratory DirectorShaun Ittiara
Laboratory Phone(312) 567-2795
Laboratory LocationRetinal Vitreal Consultants2600 S Michigan Ave - Ste 212, Chicago, IL 60616
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Retinal Vitreal Consultants Ltd's NPI number?

The NPI number for Retinal Vitreal Consultants Ltd is 1164569380. It was assigned to this organization in the NPPES registry on January 30, 2007.

Where is Retinal Vitreal Consultants Ltd located?

Retinal Vitreal Consultants Ltd is located at 2600 S Michigan Ave Ste 212, Chicago, IL 60616. The listed phone number is (312) 567-2795.

What is Retinal Vitreal Consultants Ltd's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Retinal Vitreal Consultants Ltd enrolled in Medicare?

Yes. Retinal Vitreal Consultants Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Retinal Vitreal Consultants Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Ophthalmology, reassign their Medicare billing to Retinal Vitreal Consultants Ltd. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Retinal Vitreal Consultants Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2319266) is associated with this NPI, valid through February 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Retinal Vitreal Consultants Ltd accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Retinal Vitreal Consultants Ltd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Retinal Vitreal Consultants Ltd was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.