Deactivated NPI 1083806863 Deactivated / Inactive NPI Male Practitioner

Dr. Rahul K. Reddy , MD

Ophthalmology • Phoenix, AZ

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Rahul Reddy has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 15, 2007

NPI Deactivation Date September 20, 2022

Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Rahul Reddy, MD was a registered Ophthalmology practicing in Phoenix, AZ. Throughout an active medical career spanning 15 years, Dr. Reddy provided care at the practice location at 1750 E GLENDALE AVE until profile deactivation on 2022-09-20.

Historical Medicare Part B clinical services included imaging of retina, injection of drug into eye, established patient problem focused exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1750 E Glendale Ave

Phoenix, AZ 850205505

Telephone 6022424928

Fax 6022494813

Associated Practice Facility / Clinic

🏢 Associated Retina Consultants, Ltd. Facility NPI 1164633160

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Phoenix, AZ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 24.1 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

100 Specialists

Practicing in Phoenix, AZ (384 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

12.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	1,842	1,063	$44.64	$39.54
67028 Injection of drug into eye	987	405	$137.71	$116.94
92012 Established patient problem focused exam of visual system	817	473	$97.48	$87.07
92014 Established patient complete exam of visual system	685	681	$138.61	$123.62
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	637	48	$211.54	$199.28
J0178 Injection, aflibercept, 1 mg	634	101	$972.17	$911.78
J7999 Compounded drug, not otherwise classified	621	248	$250.00	$93.66
92202 Extended exam of the back part of the eye with optic nerve drawing	449	449	$17.57	$15.46
J2778 Injection, ranibizumab, 0.1 mg	302	23	$331.37	$294.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	185	185	$182.93	$164.30
92201 Extended exam of the back part of the eye with retinal drawing	133	132	$27.38	$24.04
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	86	79	$1235.97	$1097.01
76512 Ultrasound of eye disease, growth, or structure	22	15	$57.49	$45.44
92235 Exam of retinal blood vessels using a special camera after injection of a dye	12	12	$132.96	$122.24
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina	12	11	$1421.41	$1256.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	3,722	1,368	$44.76	$39.89
67028 Injection of drug into eye	2,032	472	$139.76	$117.96
92012 Established patient problem focused exam of visual system	1,785	645	$97.60	$87.59
92014 Established patient complete exam of visual system	1,430	1,016	$137.85	$123.35
J0178 Injection, aflibercept, 1 mg	1,370	171	$967.79	$912.07
J7999 Compounded drug, not otherwise classified	1,249	306	$250.00	$94.00
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	1,064	53	$204.05	$197.29
92202 Extended exam of the back part of the eye with optic nerve drawing	870	696	$17.28	$15.54
J2778 Injection, ranibizumab, 0.1 mg	783	46	$352.45	$313.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	307	307	$186.57	$163.93
92201 Extended exam of the back part of the eye with retinal drawing	282	210	$27.18	$24.22
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	120	107	$1260.66	$1095.65
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	84	13	$5.30	$1.28
92235 Exam of retinal blood vessels using a special camera after injection of a dye	33	31	$131.40	$114.70
76512 Ultrasound of eye disease, growth, or structure	26	23	$52.79	$48.34
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina	23	21	$1413.75	$1281.19
92250 Photography of the retina	22	19	$42.02	$35.42
67515 Injection of medication or substance into membrane covering eyeball	16	12	$68.72	$56.66
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$237.37	$217.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	3,449	1,367	$45.19	$39.83
67028 Injection of drug into eye	1,930	468	$128.48	$106.83
92012 Established patient problem focused exam of visual system	1,731	632	$97.83	$86.46
92014 Established patient complete exam of visual system	1,284	968	$139.14	$123.92
J7999 Compounded drug, not otherwise classified	1,277	301	$250.00	$93.60
J0178 Injection, aflibercept, 1 mg	1,128	109	$957.64	$926.10
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	1,015	50	$206.31	$196.14
92202 Extended exam of the back part of the eye with optic nerve drawing	802	697	$17.84	$15.80
J2778 Injection, ranibizumab, 0.1 mg	735	37	$354.35	$333.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	308	308	$179.94	$162.18
92201 Extended exam of the back part of the eye with retinal drawing	221	188	$28.23	$24.70
92235 Exam of retinal blood vessels using a special camera after injection of a dye	207	202	$113.92	$100.74
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	116	107	$1268.58	$1127.61
92250 Photography of the retina	87	83	$48.79	$39.93
76512 Ultrasound of eye disease, growth, or structure	36	30	$59.45	$51.67
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina	30	27	$1583.90	$1256.47
J9035 Injection, bevacizumab, 10 mg	27	14	$250.00	$39.97
67145 Photocoagulation treatment to prevent detachment of retina	13	13	$632.02	$522.81
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$225.65	$206.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	3,791	1,408	$41.63	$40.44
92226 Examination of eye by ophthalmoscope with retinal drawing	2,407	983	$25.87	$25.18
67028 Injection of drug into eye	1,968	494	$116.11	$106.60
92012 Established patient problem focused exam of visual system	1,817	736	$89.43	$86.92
92014 Established patient complete exam of visual system	1,620	1,117	$127.99	$124.82
J0178 Injection, aflibercept, 1 mg	1,256	192	$961.58	$941.30
J7999 Compounded drug, not otherwise classified	1,115	321	$250.00	$83.47
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	1,099	57	$199.97	$196.76
J2778 Injection, ranibizumab, 0.1 mg	1,012	63	$360.40	$353.50
92225 Examination of eye by ophthalmoscope with retinal drawing	863	486	$28.37	$27.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	348	348	$168.53	$161.72
92250 Photography of the retina	329	322	$52.11	$43.99
92235 Exam of retinal blood vessels using a special camera after injection of a dye	321	316	$94.34	$89.54
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	134	127	$1170.19	$1136.20
J1100 Injection, dexamethasone sodium phosphate, 1 mg	101	54	$21.31	$0.11
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	92	15	$5.30	$1.59
76512 Ultrasound of eye disease, growth, or structure	55	39	$61.03	$60.13
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina	36	33	$1345.01	$1290.79
67145 Photocoagulation treatment to prevent detachment of retina	29	28	$529.99	$526.21
67515 Injection of medication or substance into membrane covering eyeball	21	15	$87.73	$82.10
67036 Removal of eye fluid (vitreous) between the lens and retina	12	12	$904.53	$815.68
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$205.64	$204.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	4,328	1,402	$45.38	$40.70
92226 Examination of eye by ophthalmoscope with retinal drawing	2,331	935	$27.37	$24.51
67028 Injection of drug into eye	2,322	508	$124.01	$105.75
92012 Established patient problem focused exam of visual system	2,175	792	$95.30	$85.69
J7999 Compounded drug, not otherwise classified	1,692	362	$250.00	$76.69
92014 Established patient complete exam of visual system	1,615	1,083	$137.58	$123.33
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	1,085	61	$204.22	$197.11
J0178 Injection, aflibercept, 1 mg	1,020	98	$978.04	$953.63
92225 Examination of eye by ophthalmoscope with retinal drawing	933	553	$29.76	$26.53
J2778 Injection, ranibizumab, 0.1 mg	853	26	$376.96	$370.81
92250 Photography of the retina	393	376	$63.54	$49.03
92235 Exam of retinal blood vessels using a special camera after injection of a dye	369	360	$94.43	$83.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	362	362	$178.44	$160.09
J1100 Injection, dexamethasone sodium phosphate, 1 mg	188	64	$21.36	$0.11
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	144	133	$1239.44	$1135.13
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	100	19	$5.30	$1.78
76512 Ultrasound of eye disease, growth, or structure	86	58	$84.24	$73.15
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina	45	39	$1525.66	$1242.36
67145 Photocoagulation treatment to prevent detachment of retina	25	24	$574.81	$515.84
67515 Injection of medication or substance into membrane covering eyeball	22	19	$119.77	$102.47
65800 Removal of eye fluid	17	14	$146.21	$125.64
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$78.07	$71.41
67041 Removal of membrane from the retina	13	12	$1237.69	$1113.58
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$224.50	$203.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	3,358	1,140	$41.77	$40.23
92012 Established patient problem focused exam of visual system	2,123	689	$86.71	$83.91
67028 Injection of drug into eye	1,768	422	$115.75	$106.63
92226 Examination of eye by ophthalmoscope with retinal drawing	1,761	659	$25.40	$24.27
J7999 Compounded drug, not otherwise classified	1,132	279	$148.88	$72.71
92014 Established patient complete exam of visual system	1,126	817	$126.41	$121.36
J0178 Injection, aflibercept, 1 mg	1,082	101	$978.40	$962.58
J2778 Injection, ranibizumab, 0.1 mg	832	29	$379.98	$372.57
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	819	43	$200.79	$197.57
92225 Examination of eye by ophthalmoscope with retinal drawing	631	373	$27.62	$26.46
92250 Photography of the retina	559	517	$66.99	$64.38
92235 Exam of retinal blood vessels using a special camera after injection of a dye	510	489	$87.18	$75.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	280	280	$166.67	$161.09
J1100 Injection, dexamethasone sodium phosphate, 1 mg	166	50	$21.19	$0.11
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	95	89	$1214.40	$1130.41
76512 Ultrasound of eye disease, growth, or structure	79	50	$98.39	$89.43
65800 Removal of eye fluid	47	30	$119.51	$116.37
99213 Established patient office or other outpatient visit, typically 15 minutes	37	34	$76.02	$70.41
67145 Photocoagulation treatment to prevent detachment of retina	30	28	$546.26	$528.93
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina	29	25	$1348.14	$1282.50
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	28	17	$342.19	$336.81
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$206.54	$203.26
67210 Laser destruction of retinal growth, 1 or more sessions	17	17	$520.52	$512.19
67041 Removal of membrane from the retina	14	14	$1158.41	$1133.87
92242 Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye	12	12	$226.81	$223.18

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License AZ 45001

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners

Dr. Rima Patel , MD

Ophthalmology - Retina Specialist

NPI 1013353804

Doctor of Medicine (M.D.)

Dr. Henry Kwong , MD

Ophthalmology - Retina Specialist

NPI 1033257746

Doctor of Medicine (M.D.)

Christina Lynch

Specialist/Technologist, Other - Surgical Technologist

NPI 1043017916

Brandi Ekstrom , COA, ST

Specialist/Technologist, Other - Surgical Assistant

NPI 1114308426

Rebecca Vansickle

Technician/Technologist - Ophthalmic

NPI 1134080740

Dr. Jaime Gaitan , MD

Ophthalmology - Retina Specialist

NPI 1275580573

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

⚠️

NPI Profile Deactivated September 20, 2022

Record deactivated on September 20, 2022

✅

NPI Profile Active April 04, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 04, 2017

Registered at 1750 E GLENDALE AVE, PHOENIX, AZ 850205505 (Tel: 6022424928)

📍

Updated Business Mailing Address April 04, 2017

Registered at 1750 E GLENDALE AVE, PHOENIX, AZ 850205505 (Tel: 6022424928)

👤

Provider Name / Credentials Updated April 04, 2017

Recorded as RAHUL REDDY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2017

Ophthalmology (License #45001 in AZ)

✅

NPI Profile Active September 10, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location September 10, 2013

Registered at 1750 E GLENDALE AVE, PHOENIX, AZ 850205505 (Tel: 6022424928)

📍

Updated Business Mailing Address September 10, 2013

Registered at 1750 E GLENDALE AVE, PHOENIX, AZ 850205505 (Tel: 6022424928)

👤

Provider Name / Credentials Updated September 10, 2013

Recorded as RAHUL REDDY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2013

Ophthalmology (License #45001 in AZ)

🟢

Initial NPI Registration & Enumeration August 15, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083806863

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 15, 2007

Last Update: September 10, 2013

Deactivation Date: September 20, 2022

Update or Correct Profile

Mailing Address

1750 E Glendale Ave

Phoenix, AZ 850205505

Phone: 6022424928

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.