Khadijeh S. Zarkoob, M.D.

Primary specialty

Therapeutic Radiology PhysicianTaxonomy code 2085R0203X

License

35C.000242 Issued in OH

Practice address

504 6TH St
Lewiston, ID 83501-2439

Phone

(208) 799-5600

NPI assigned

Jan 26, 2006

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in DC, ID, NE, OH, IL, WV6 enrollments

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 6

Specialty

Radiation Oncology

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cabell Huntington Hospital IncGroup PAC ID 3274436340, 88 clinicians

Holzer Clinic LLCGroup PAC ID 5890606008, 266 clinicians

Mt. Vernon Radiation Therapy CenterGroup PAC ID 2163439498, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holzer Medical Center Hospital, Gallipolis, OH, CCN 360054
• Cabell Huntington Hospital, Inc Hospital, Huntington, WV, CCN 510055

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: khadijeh.zarkoob.1@17389.direct.athenahealth.com
• Direct secure messaging: kzarkoob667427@direct.parkviewexchange.com

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.

• Holzer Clinic, LLC

  • Multi-Specialty Clinic/Center
  • Gallipolis, OH
  • NPI 1508817248
  Medicare reassignment Care Compare group NPD
• Mt Vernon Radiation Therapy Center

  • Radiation Oncology Clinic/Center
  • Mount Vernon, IL
  • NPI 1952477028
  Medicare reassignment Care Compare group NPD
• Cabell Huntington Hospital Inc

  • Anesthesiology Physician
  • Huntington, WV
  • NPI 1275576373
  Medicare reassignment Care Compare group
• St Joseph Hospital LLC

  • Internal Medicine Physician
  • Lewiston, ID
  • NPI 1205368404
  Medicare reassignment NPD
• CHI Health Clinic Specialty, LLC

  • Hospitalist Physician
  • Lincoln, NE
  • NPI 1285138065

  Radiation Oncology

  Medicare reassignment NPD
• Good Samaritan Regional Health Center

  • Emergency Medicine Physician
  • Mount Vernon, IL
  • NPI 1487758801

  Radiation Oncology

  Medicare reassignment NPD
• Medical Faculty Associates, Inc

  • Anesthesiology Physician
  • Washington, DC
  • NPI 1417990581
  Medicare reassignment NPD
• Midwest Community Health Associates, Inc.

  • Family Medicine Physician
  • Bryan, OH
  • NPI 1619915170
  Medicare reassignment NPD
• Good Samaritan Regional Health Center

  • Anesthesiology Physician
  • Mount Vernon, IL
  • NPI 1194269597
  NPD
• Good Samaritan Regional Health Center

  • Community/Retail Pharmacy
  • Mount Vernon, IL
  • NPI 1316282163
  NPD
• I Path LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Gallipolis, OH
  • NPI 1942525563
  NPD
• Midwest Community Health Associates, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Bryan, OH
  • NPI 1942770581
  NPD

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

• Cabell Huntington Hospital Inc

  • General Acute Care Hospital
  • Huntington, WV
  • NPI 1073518007
  Care Compare affiliation
• Holzer Hospital Foundation

  • Rural Acute Care Hospital
  • Gallipolis, OH
  • NPI 1942256888
  Care Compare affiliation

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1295705630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11919 PARK HEIGHTS AVE",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "21117",
            "telephone_number": "410-303-9111",
            "fax_number": "410-356-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 6TH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012439",
            "telephone_number": "208-799-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11919 Park Heights Ave",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211171517",
            "country_code": "US",
            "telephone_number": "410-303-9111",
            "fax_number": "410-356-4980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "524 W High St",
            "address_purpose": "LOCATION",
            "city": "Bryan",
            "state": "OH",
            "postal_code": "435061618",
            "country_code": "US",
            "telephone_number": "419-636-9800",
            "fax_number": "419-636-0451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZARKOOB",
        "first_name": "KHADIJEH",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MD",
            "license": "DOO63905",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "KY",
            "license": "51193",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "ID",
            "license": "MC-0720",
            "primary": false
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "OH",
            "license": "35C.000242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295705630",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Therapeutic Radiology Physician in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Therapeutic Radiology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.