Active NPI
Shabari Sanat Seetharam, M.D.
- Ophthalmology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 46338
- Practice address
- 3840 N 16TH St
Phoenix, AZ 85016-5917 - Phone
- (602) 232-6066
- NPI assigned
- Nov 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 57-013833 | OH | |
| Ophthalmology Physician | 207W00000X | 52392 | WI | |
| Ophthalmology Physician | 207W00000X | 036128066 | IL | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 46338 | AZ | |
| Ophthalmology Physician | 207W00000X | 46338 | AZ | Primary |
Addresses
Primary practice location
3840 N 16TH St
Phoenix, AZ 85016-5917
Mailing address
3840 N 16TH St
Phoenix, AZ 85016-5917
Phone (602) 232-6066
Other names 1
- Dr. Shabari Sanat Bhatt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Ohio State University College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20201 N Scottsdale Healthcare Dr
Suite 220
Scottsdale, AZ 85255-4137
Phone (602) 232-6066
3840 N 16TH St
Phoenix, AZ 85016-5917
Phone (602) 232-6066
604 W Warner Rd
Suite B7
Chandler, AZ 85225-2960
Phone (602) 232-6066
9305 W Thomas Rd
Suite 300
Phoenix, AZ 85037-3366
Phone (602) 232-6066
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57-013833 | OH | MD | Internal Medicine Physician |
| 46338 | AZ | MD | Ophthalmology Physician |
| 52392 | WI | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Surgical Suites LLC | Current | Accepting new patients | |
| Central Dupage Physician Group | Family Medicine | Past | Accepting new patients |
| Grayhawk Eye Center | Past | Accepting new patients |
Locations
3840 N 16th St
Phoenix, AZ 85016
Networks
- NM HMO C-SNP
Interoperability endpoints
- sseetharam@azretvit.intellechartdirect.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Phoenix, AZ
- NPI 1174852388
-
- Ambulatory Surgical Clinic/Center
- Phoenix, AZ
- NPI 1215892781
-
- Preferred Provider Organization
- Scottsdale, AZ
- NPI 1851572069
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1013197375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3840 N 16TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850165917",
"telephone_number": "602-232-6066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3840 N 16TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850165917",
"telephone_number": "602-232-6066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEETHARAM",
"first_name": "SHABARI",
"middle_name": "SANAT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-05",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "57-013833",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WI",
"license": "52392",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036128066",
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "AZ",
"license": "46338",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "AZ",
"license": "46338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHABARI",
"last_name": "BHATT",
"middle_name": "SANAT",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.