Individual provider Active NPI

Zakera Nanabawa, M.D.

  • Obstetrics & Gynecology Physician
  • Rockford, IL
National Provider Identifier
1336370188
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
336094781 Issued in IL
Practice address
1200 W State St
Rockford, IL 61102-2112
Phone
(815) 490-1600
Fax
(989) 583-1881
NPI assigned
Jul 28, 2009
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2025034553 MO
Obstetrics & Gynecology Physician 207V00000X 4301092954 MI
Obstetrics & Gynecology Physician 207V00000X 336094781 IL Primary

Addresses

Primary practice location

1200 W State St
Rockford, IL 61102-2112

Mailing address

1200 W State St
Rockford, IL 61102-2112
Phone (815) 490-1600

Other practice location 1

1000 E Primrose St Ste 270
Springfield, MO 65807-5177
Phone (417) 882-6900

Other practice location 2

1000 E Primrose St Ste 400
Springfield, MO 65807-5179
Phone (000) 000-0000

Other practice location 3

1000 E Primrose St Ste 210
Springfield, MO 65807-5154
Phone (417) 269-6850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MP, SC, HI, CA, MO6 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

Enrollment IDStateProvider typePAC IDDetails
I20140403001112 IL Practitioner - Obstetrics/Gynecology 6002048196 Reassigns benefits to 1 organization
I20200715000820 MP Practitioner - Obstetrics/Gynecology 6002048196 Reassigns benefits to 1 organization
I20210817002434 SC Practitioner - Obstetrics/Gynecology 6002048196
I20230206001496 HI Practitioner - Obstetrics/Gynecology 6002048196 Reassigns benefits to 2 organizations
I20250807003965 CA Practitioner - Obstetrics/Gynecology 6002048196 Reassigns benefits to 1 organization
I20250902002568 MO Practitioner - Obstetrics/Gynecology 6002048196 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Missouri PCGroup PAC ID 4789839689, 14 clinicians

Practice addresses (Care Compare)

1235 E Cherokee St
Springfield, MO 65804-2203
Phone (800) 967-2289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
86150SCMDCommunity Health Registered Nurse
336094781ILMDObstetrics & Gynecology Physician
4301092954MIMDObstetrics & Gynecology Physician
2025034553MOMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers Obstetrics & Gynecology CurrentSince Sep 22, 2025 Accepting new patients
Obhg Missouri, PC Obstetrics & Gynecology CurrentSince Aug 1, 2025 Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Jun 2, 2025 Accepting new patients
Samuel Mahelona Memorial Hospital CurrentSince Mar 1, 2023 Accepting new patients
Commonwealth Healthcare Corporation Current Accepting new patients
Samuel Mahelona Memorial Hospital CurrentSince Mar 1, 2023 Accepting new patients
Samuel Mahelona Memorial Hospital Current Accepting new patients
Lester E Cox Medical Centers CurrentSince Sep 22, 2025 Accepting new patients
Lester E Cox Medical Centers Obstetrics & Gynecology CurrentSince Mar 1, 2026 Accepting new patients
Kauai Veterans Memorial Hospital Current Accepting new patients
Kauai Veterans Memorial Hospital CurrentSince Mar 1, 2023 Accepting new patients
Commonwealth Healthcare Corporation CurrentSince Jun 10, 2020 Accepting new patients
Obhg Illinois SC Obstetrics & Gynecology CurrentSince Jun 12, 2025 Accepting new patients
Lester E Cox Medical Centers CurrentSince Sep 22, 2025 Accepting new patients
Commonwealth Healthcare Corporation CurrentSince Jun 10, 2020 Accepting new patients
Mercy Hospital Springfield Past Accepting new patients
Samir E. Hage, D.O., Inc. Obstetrics & Gynecology Past Accepting new patients

Locations

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

405 W Jackson St
Carbondale, IL 62901

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

1000 E Primrose St
Ste 270
Springfield, MO 65807
Phone (417) 882-6900

1000 E Primrose St
Ste 400
Springfield, MO 65807
Phone (417) 269-7900

1001 E Primrose St
Springfield, MO 65807
Phone (417) 875-3434

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1336370188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611022112",
            "telephone_number": "815-490-1600",
            "fax_number": "989-583-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611022112",
            "telephone_number": "815-490-1600",
            "fax_number": "989-583-1881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 E Primrose St Ste 270",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075177",
            "country_code": "US",
            "telephone_number": "417-882-6900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E Primrose St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075179",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E Primrose St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075154",
            "country_code": "US",
            "telephone_number": "417-269-6850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NANABAWA",
        "first_name": "ZAKERA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-28",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2025034553",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301092954",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "336094781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.