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ARIZONA RETINA AND VITREOUS CONSULTANTS LLC
NPI 1174852388
Ophthalmology in Phoenix, AZ

Active since December 17, 2009CLIA 03D2079238 · Waiver
3840 N 16TH ST, PHOENIX, AZ 85016(602) 232-6066 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2023, May 9, 2023 (2 updates tracked since 2023).

About Arizona Retina And Vitreous Consultants Llc NPPES

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

ARIZONA RETINA AND VITREOUS CONSULTANTS LLC (NPI 1174852388) is a healthcare organization registered as an ophthalmology in Phoenix, Arizona and active in the NPI registry since December 2009. The organization holds a CLIA Waiver certificate valid through June 11, 2028 and lists Ramin Schadlu, Owner, as its authorized official.

NPPES Registry Identity

NPI1174852388
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameARIZONA RETINA AND VITREOUS CONSULTANTS LLC
Location Address3840 N 16TH STPhoenix, AZ 85016-5917
Mailing Address3840 N 16th StPhoenix, AZ 85016-5917 · (602) 232-6066
Phone(602) 232-6066
Organization SubpartNo
Authorized OfficialRamin SchadluOwner · (602) 232-6066
Enumeration DateDecember 17, 2009
Last NPPES UpdateOctober 9, 20232 updates tracked since enumeration
NPPES CertifiedOctober 9, 2023
✔ NPI 1174852388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in AZ · 41415
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.
3840 N 16TH ST, Phoenix, AZ 85016
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Cigna HealthCare of Arizona, Inc.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)

Arizona Retina And Vitreous Consultants Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Arizona Retina And Vitreous Consultants LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Anita Prasad, MD
Ophthalmology
NPI 1114967981
3840 N 16TH ST
Phoenix, AZ 85016
(602) 232-6066
✔ PECOS✔ Accepts MedicareSame address
Ramin Schadlu, MD
Ophthalmology
NPI 1962428276
3840 N 16TH ST
Phoenix, AZ 85016
(602) 232-6066
✔ PECOS✔ Accepts MedicareSame address
Shabari Seetharam, M.D.
Ophthalmology
NPI 1013197375
3840 N 16TH ST
Phoenix, AZ 85016
(602) 232-6066
✔ PECOS✔ Accepts MedicareSame address
Jacob Miller, O.D.
Optometry
NPI 1922100650
3840 N 16TH ST
Phoenix, AZ 85016
(602) 232-6066
✔ PECOS✔ Accepts MedicareSame address
Bentley Skibell, MD
Ophthalmology
NPI 1265537898
3840 N 16TH ST
Phoenix, AZ 85016
(602) 232-6066
✔ PECOS✔ Accepts MedicareSame address

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 03D2079238

Arizona Retina And Vitreous Research LLC · Phoenix, AZ
Active · expires Jun 11, 2028
CLIA Number03D2079238
Laboratory TypePhysician Office
Certificate Effective DateJune 12, 2026
Certificate Expiration DateJune 11, 2028
Laboratory DirectorRamin Schadlu
Laboratory Phone(602) 232-6066
Laboratory LocationArizona Retina And Vitreous Research LLC3840 N 16th St, Phoenix, AZ 85016
CLIA data matches this NPI record on: Address 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 Arizona Retina And Vitreous Consultants LLC's NPI number?

The NPI number for Arizona Retina And Vitreous Consultants LLC is 1174852388. It was assigned to this organization in the NPPES registry on December 17, 2009.

Where is Arizona Retina And Vitreous Consultants LLC located?

Arizona Retina And Vitreous Consultants LLC is located at 3840 N 16th St, Phoenix, AZ 85016. The listed phone number is (602) 232-6066.

What is Arizona Retina And Vitreous Consultants LLC's specialty?

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

Is Arizona Retina And Vitreous Consultants LLC enrolled in Medicare?

Yes. Arizona Retina And Vitreous Consultants LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Arizona Retina And Vitreous Consultants LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Arizona Retina And Vitreous Consultants LLC. 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. The largest specialties are Ophthalmology (4) and Optometry (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Arizona Retina And Vitreous Consultants LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2079238) is associated with this NPI, valid through June 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Arizona Retina And Vitreous Consultants LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Cigna HealthCare of Arizona, Inc list Arizona Retina And Vitreous Consultants LLC 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 Arizona Retina And Vitreous Consultants LLC was last updated on October 9, 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.