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

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 (180 clinicians)
St Peters Bone and Joint Surgery Inc (26 clinicians)

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 Hospital · Ofallon, MO · CCN 260219
  • Barnes-Jewish St Peters Hospital Hospital · Saint Peters, MO · CCN 260191
  • Mercy Hospital Lincoln Hospital · Troy, MO · CCN 261319
  • St Lukes Hospital Hospital · Chesterfield, MO · CCN 260179
  • SSM Health Rehabilitation Hospital Inpatient rehabilitation facility · Richmond Heights, MO · CCN 263031

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement18
Knee replacement19
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 IDStateProvider typePAC IDDetails
I20240724003347 MO Practitioner - Orthopedic Surgery 3375957970 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1205NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
St Peters Bone & Joint Surgery Inc. Orthopaedic Surgery Current
since Sep 1, 2024
Accepting new patients
Baptist Health Deaconess Medical Group Inc Current Accepting new patients
St Peters Bone & Joint Surgery Inc. Orthopaedic Surgery Current
since Sep 1, 2024
Accepting new patients
Mercy Clinic Surgical Specialists, LLC Current
since Dec 1, 2025
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

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73033

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
CONNECT URL Clarksville

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 11, 2024.

{
    "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

All providers in Columbia, MO · Orthopaedic Surgery Physician in Missouri

Sources for this page

Verify at the official NPI Registry.