Dr Khaleelur R Zackariya Sr, MD - Medicare Hospitalist in Mishiwaka, IN

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Dr Khaleelur R Zackariya Sr, MD is a medicare enrolled "Internal Medicine - Addiction Medicine" physician in Mishiwaka, Indiana. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Hospitalist Medicine Physicians Of Indiana Llc and his current practice location is 5215 Holycross Parkway, Mishiwaka, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 237-7168.

Dr Khaleelur R Zackariya Sr is licensed to practice in Indiana (license number 01066056A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306854203.

Contact Information

Dr Khaleelur R Zackariya Sr, MD
5215 Holycross Parkway,
Mishiwaka, IN 46545
(574) 237-7168
(574) 472-6262

Map and Direction




Physician's Profile

Full NameDr Khaleelur R Zackariya Sr
GenderMale
SpecialityHospitalist
Experience31 Years
Location5215 Holycross Parkway, Mishiwaka, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Khaleelur R Zackariya Sr graduated from medical school in 1993
  NPI Data:
  • NPI Number: 1306854203
  • Provider Enumeration Date: 08/04/2006
  • Last Update Date: 10/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3779649207
  • Enrollment ID: I20090306000358

Medical Identifiers

Medical identifiers for Dr Khaleelur R Zackariya Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306854203NPI-NPPES
200930470MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 01066056A (Indiana)Secondary
207RA0401XInternal Medicine - Addiction Medicine 01066056A (Indiana)Primary
207R00000XInternal Medicine 036098582 (Illinois)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Joseph Regional Medical CenterMishawaka, INHospital
Saint Joseph Regional Medical Center - PlymouthPlymouth, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hospitalist Medicine Physicians Of Indiana Llc771911996527

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Khaleelur R Zackariya Sr allows following entities to bill medicare on his behalf.
Entity NameSound Physicians Of Indiana, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528311149
PECOS PAC ID: 4981841780
Enrollment ID: O20130515000624
Entity NameNorthwest Hospitalist Physicians, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023448321
PECOS PAC ID: 0244397693
Enrollment ID: O20140205000078
Entity NameHospitalist Medicine Physicians Of Indiana Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720416555
PECOS PAC ID: 7719119965
Enrollment ID: O20140422001842
Entity NameHospitalist Medicine Physicians Of Ohio - Westerville, Professional C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215416367
PECOS PAC ID: 7911259809
Enrollment ID: O20210222001857

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Khaleelur R Zackariya Sr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Khaleelur R Zackariya Sr, MD
810 Park Pl,
Mishawaka, IN 46545-3520

Ph: (574) 472-6901		Dr Khaleelur R Zackariya Sr, MD
5215 Holycross Parkway,
Mishiwaka, IN 46545

Ph: (574) 237-7168

Reviews and Comments


Internal Medicine Doctors in Mishiwaka, IN


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.