Individual provider Active NPI

Rahul Seshadri Iyengar, MD

  • Ophthalmology Physician
  • Peoria, AZ
National Provider Identifier
1043771769
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A181423 Issued in CA
Practice address
13943 N 91St Ave Ste D101
Peoria, AZ 85381-3688
Phone
(800) 640-6442
NPI assigned
Mar 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X A181423 CA Primary

Addresses

Primary practice location

13943 N 91St Ave Ste D101
Peoria, AZ 85381-3688

Mailing address

1450 San Pablo St # 4400
Los Angeles, CA 90033-5331
Phone (323) 442-6335

Other practice location 1

1450 San Pablo St # 4400
Los Angeles, CA 90033-5331
Phone (323) 442-6335

Other names 1

  • Rahul Seshadri Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230814000626 CA Practitioner - Ophthalmology 0244632487 Reassigns benefits to 2 organizations
I20250703003009 AZ Practitioner - Ophthalmology 0244632487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retinal Consultants of Arizona LTDGroup PAC ID 4688560204, 8 clinicians

Practice addresses (Care Compare)

1712 E Boston St
Gilbert, AZ 85295-6225
Phone (800) 640-6442

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A181423CAMDOphthalmology Physician
77150AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Care Medical Group, Inc Ophthalmology CurrentSince Jul 2, 2023 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jul 2, 2023 Accepting new patients
Retina-Vitreous Associates Medical Group PC Ophthalmology CurrentSince Jul 2, 2023 Accepting new patients
Retinal Consultants of Arizona LTD Ophthalmology CurrentSince Jun 10, 2025 Accepting new patients
Eyenet Triage, PLC Ophthalmology Past Accepting new patients

Locations

350 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 779-0500

1712 E Boston St
Gilbert, AZ 85295

2110 Airway Ave
Kingman, AZ 86409
Phone (928) 681-1800

40 Capri Blvd
Lake Havasu City, AZ 86403
Phone (928) 680-6800

2152 S Vineyard
Ste 139
Mesa, AZ 85210

302 W Main St
Payson, AZ 85541
Phone (928) 474-4126

13943 N 91st Ave
Ste D101
Peoria, AZ 85381

13943 N 91st Ave
Bldg D
Peoria, AZ 85381

13943 N 91st Ave
Peoria, AZ 85381

15401 N 29th Ave
Phoenix, AZ 85053
Phone (602) 583-2020

1101 E Missouri Ave
Phoenix, AZ 85014
Phone (602) 222-2221

3192 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-1234

4921 E Bell Rd
Ste 102
Scottsdale, AZ 85254
Phone (602) 548-6500

10619 N Hayden Rd
Ste 101
Scottsdale, AZ 85260
Phone (480) 948-0733

63 S Rockford Dr
Ste 220
Tempe, AZ 85288

275 W 28th St
Yuma, AZ 85364
Phone (928) 329-5011

11551 S Fortuna Rd
Ste E
Yuma, AZ 85367
Phone (928) 503-7057

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

9001 Wilshire Blvd
Ste 301
Beverly Hills, CA 90211
Phone (310) 659-3337

File 51006
Los Angeles, CA 90074

1450 San Pablo St
#4400
Los Angeles, CA 90033
Phone (323) 442-6335

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

Interoperability endpoints

  • Direct secure messaging: rahul.iyengar.p23@direct.avp.nextgenshare.com

Organizations & group practices 5

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": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1043771769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 SAN PABLO ST # 4400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335331",
            "telephone_number": "323-442-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13943 N 91ST AVE STE D101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853813688",
            "telephone_number": "800-640-6442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 San Pablo St # 4400",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900335331",
            "country_code": "US",
            "telephone_number": "323-442-6335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IYENGAR",
        "first_name": "RAHUL",
        "middle_name": "SESHADRI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A181423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAHUL",
            "last_name": "SESHADRI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.