Active NPI
Mark Zacharjasz, M.D.
- Family Medicine Physician
- Oskaloosa, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 45154
- Practice address
- 1229 C Ave E
Oskaloosa, IA 52577 - Phone
- (641) 672-3100
- NPI assigned
- Jun 18, 2015
- Last updated
- Dec 28, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2015019270 | MO | |
| Family Medicine Physician | 207Q00000X | 45154 | IA | Primary |
Addresses
Primary practice location
1229 C Ave E
Oskaloosa, IA 52577
Mailing address
1229 C Ave E
Oskaloosa, IA 52577-4246
Phone (641) 672-3100
Other practice location 1
615 S New Ballas Rd
Family Medicine
Saint Louis, MO 63141-8221
Phone (314) 251-8888
Other practice location 2
615 S New Ballas Rd
Family Medicine
Saint Louis, MO 63141-8221
Phone (314) 251-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Saint Louis University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mahaska County Hospital
Practice addresses (Care Compare)
201 Trueblood Ave
Oskaloosa, IA 52577-1757
Phone (641) 676-7361
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.71 of 100
- Quality
- 89.85
- Promoting interoperability
- 94.05
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45154 | IA | MD | Family Medicine Physician |
| 2015019270 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Mahaska County Hospital | Current | Accepting new patients | |
| Mahaska County Hospital | Family Medicine | Current | Accepting new patients |
Locations
1229 C Ave E
Oskaloosa, IA 52577
Phone (641) 672-3100
1229 C Ave E
Ste 300
Oskaloosa, IA 52577
Phone (641) 672-3159
201 Trueblood Ave
Oskaloosa, IA 52577
Phone (641) 672-3360
Interoperability endpoints
- mzacharjasz781058@direct.unitypoint.org
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Mahaska Health Hospice | Hospice | W-2 Managing Employee Operational/Managerial Control |
Dec 4, 2018 Dec 4, 2018 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Mahaska Health Hospice
- Community Based Hospice Care Agency
- Oskaloosa, IA
- NPI 1003886110
Operational/Managerial Control, W-2 Managing Employee
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Chariton, IA
- NPI 1558847749
-
dba Mahaska Health Hospice
- Community Based Hospice Care Agency
- Oskaloosa, IA
- NPI 1003886110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545955200000",
"number": "1346621059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1229 C AVE E",
"city": "OSKALOOSA",
"state": "IA",
"postal_code": "525774246",
"telephone_number": "641-672-3100",
"fax_number": "641-672-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1229 C AVE E",
"city": "OSKALOOSA",
"state": "IA",
"postal_code": "52577",
"telephone_number": "641-672-3100"
}
],
"practiceLocations": [
{
"address_1": "615 S New Ballas Rd",
"address_2": "Family Medicine",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631418221",
"country_code": "US",
"telephone_number": "314-251-8888",
"fax_number": "314-251-8889",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "615 S New Ballas Rd",
"address_2": "Family Medicine",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631418221",
"country_code": "US",
"telephone_number": "314-251-8888",
"fax_number": "314-251-8889",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZACHARJASZ",
"first_name": "MARK",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-18",
"last_updated": "2018-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2015019270",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "45154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oskaloosa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.