Nicholas J Zarkadis, D.O.
Individual provider Active NPI Orthopaedic Surgery Physician · Columbia, MO
NPI 1033558259 · NPPES record last updated Jul 11, 2024
Key facts
- NPI
- 1033558259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 2019016580 (MO)
- Practice address
- 1100 Virginia Ave
Columbia, MO 65212-0001 - Phone
- (573) 882-2663
- Fax
- (573) 882-1760
- NPI assigned
- Jun 20, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic Surgical Specialists LLC
St Peters Bone and Joint Surgery Inc
Practice addresses (Care Compare)
1165 A E Cherry St
Mercy Clinic East
Troy, MO 63379-1520
Phone (636) 528-3407
5200 Executive Centre Pkwy
300 St. Peters Bone and Joint Surgery
Saint Peters, MO 63376-3394
Phone (636) 441-3444
Hospital & facility affiliations
- Progress West Hospital
- Barnes-Jewish St Peters Hospital
- Mercy Hospital Lincoln
- St Lukes Hospital
- SSM Health Rehabilitation Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 18 |
| Knee replacement | 19 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240724003347 | MO | Practitioner - Orthopedic Surgery | 3375957970 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1205 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Peters Bone & Joint Surgery Inc. | Orthopaedic Surgery | Current |
Accepting new patients |
| Baptist Health Deaconess Medical Group Inc | Current | Accepting new patients | |
| St Peters Bone & Joint Surgery Inc. | Orthopaedic Surgery | Current |
Accepting new patients |
| Mercy Clinic Surgical Specialists, LLC | Current |
Accepting new patients |
Locations
800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900
200 Clinic Dr
Madisonville, KY 42431
Phone (270) 821-8874
4701 Highway K
O Fallon, MO 63368
Phone (636) 441-3444
5200 Executive Centre Pkwy
Ste 300
Saint Peters, MO 63376
Phone (636) 229-4222
1165A E Cherry St
Troy, MO 63379
Phone (636) 239-8097
851 E 5th St
Ste 108
Washington, MO 63090
Phone (636) 239-4144
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73033
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 1205 | NE | |
| Orthopaedic Surgery Physician | 207X00000X | 2019016580 | MO | Yes |
Addresses
Primary practice location
1100 Virginia Ave
Columbia, MO 65212-0001
Mailing address
PO Box 843966
Kansas City, MO 64184-3966
Phone (573) 884-3300
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Clarksville |
NPI Registry JSON
{
"created_epoch": "1371686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1033558259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 843966",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641843966",
"telephone_number": "573-884-3300",
"fax_number": "573-884-0943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 VIRGINIA AVE",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652120001",
"telephone_number": "573-882-2663",
"fax_number": "573-882-1760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZARKADIS",
"first_name": "NICHOLAS",
"middle_name": "J",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-20",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NE",
"license": "1205",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MO",
"license": "2019016580",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Clarksville",
"affiliation": "N",
"address_1": "Blanchfield Army Community Hospital",
"address_2": "650 Joel Drive",
"city": "Fort Campbell",
"state": "KY",
"country_code": "US",
"postal_code": "42223",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbia, MO
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- Shvetha Murthy Zarek
- Sheila Marie Zawieja
- Amanda Suzanne Zeglis
- Steven Jay Zeichner,
- Danielle Renee Zelaya
- Ke Zeng
All providers in Columbia, MO · Orthopaedic Surgery Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.