Individual provider Active NPI

Shabari Sanat Seetharam, M.D.

  • Ophthalmology Physician
  • Phoenix, AZ
National Provider Identifier
1013197375
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
46338 Issued in AZ
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

Updated by the provider on Oct 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130116000557 AZ Practitioner - Ophthalmology 6204005507 Reassigns benefits to 1 organization

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
Arizona Retina and Vitreous Consultants LLCGroup PAC ID 0648314112, 4 clinicians

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 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
57-013833OHMDInternal Medicine Physician
46338AZMDOphthalmology Physician
52392WIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Surgical Suites LLC CurrentSince Dec 21, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.