Zia Shazad Barkatullah, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

07000992A Issued in IN

Practice address

3611 S Reed Rd
Suite 104
Kokomo, IN 46902-3828

Phone

(765) 453-5892

Fax

(765) 453-8262

NPI assigned

Nov 30, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Jeffrey Brooks PCGroup PAC ID 6204175169, 12 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr Jeffrey Brooks PC

  • Podiatrist
  • Jefferson City, MO
  • NPI 1972069359
  Medicare reassignment Care Compare group NPD
• Indiana Center for Foot and Ankle Care, PC

  • Podiatrist
  • Indianapolis, IN
  • NPI 1396039996
  NPD Authorized official
• Home Physicians PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Chicago, IL
  • NPI 1811998438

  Podiatrist

  NPD (past)
• Nyconn Orthopaedic & Rehabalitation Specialists, PLLC

  • Specialist
  • Stamford, CT
  • NPI 1336144120
  NPD (past)
• Nyconn Orthopaedic & Rehabilitation Specialists

  • Specialist
  • Carmel, NY
  • NPI 1184703076
  NPD (past)

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558345975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 S REED RD",
            "address_2": "SUITE 104",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023828",
            "telephone_number": "765-453-5892",
            "fax_number": "765-453-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 S REED RD",
            "address_2": "SUITE 104",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023828",
            "telephone_number": "765-453-5892",
            "fax_number": "765-453-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKATULLAH",
        "first_name": "ZIA",
        "middle_name": "SHAZAD",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000992A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD / TRAVELERS",
            "identifier": "P00195726",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200508130A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "371059",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Louise Balsbaugh
• Jan E Banquicio, OTR
• Aliyah Barbary
• Labrina Tenai Barber
• Lanesa Barber
• Lee Allen Barker, PHARM D
• Jazmen Barnes-Gano
• Beth A Barnett, DEVELOPMENTAL THERAP
• Elizabeth Barnett, LMHC
• Amber Barney

• Podiatrist in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.