Ramin Schadlu, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

41415 Issued in AZ

Practice address

3840 N 16TH St
Phoenix, AZ 85016-5917

Phone

(602) 232-6066

Fax

(602) 314-4154

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

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

Specialty

Ophthalmology

Education

Other, 1999

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)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: rschadlu@azretvit.intellechartdirect.net

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.

• Arizona Retina and Vitreous Consultants LLC

  • Ophthalmology Physician
  • Phoenix, AZ
  • NPI 1174852388
  Medicare reassignment Care Compare group Authorized official
• Premier Surgical Suites LLC

  • Ambulatory Surgical Clinic/Center
  • Phoenix, AZ
  • NPI 1215892781
  NPD
• Grayhawk Eye Center

  • Preferred Provider Organization
  • Scottsdale, AZ
  • NPI 1851572069
  NPD (past)
• Retina & Vitreous Consultants Inc

  • Ophthalmology Physician
  • Saint Louis, MO
  • NPI 1255452603
  NPD (past)
• The Retina Institute LLC

  • Ophthalmology Physician
  • Saint Louis, MO
  • NPI 1407858673
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1962428276",
    "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",
            "fax_number": "602-314-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHADLU",
        "first_name": "RAMIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2005008908",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD435175",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "AZ",
            "license": "41415",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "41415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "473420",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207306705",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Elaine Scavarelli, CCC-SLP
• Anndilina Scavetti, RBT
• Amanda Schaaf, MD
• Patricia Ellen Schachtner, SLPA
• Rosemary Schad, LPN
• Schaefer Family Chiropractic Center, Inc.
• Amy M Schaefer, PSY
• Carrie M Schaefer, M.D.
• Dwight David Schaefer, D.C.
• James D Schaefer, DC

• Ophthalmology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Ophthalmology Physician in Arizona

• 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.

Verify at the official NPI Registry.