Individual provider Active NPI

Zachary Lee Sowa, P.A.

  • Physician Assistant
  • Decatur, IL
National Provider Identifier
1861680704
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1900 E Lake Shore Dr
Suite 200
Decatur, IL 62521-3846
Phone
(217) 464-1030
Fax
(217) 464-1039
NPI assigned
Oct 4, 2007
Last updated
May 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2020019036 MO
Physician Assistant 363A00000X IL Primary

Addresses

Primary practice location

1900 E Lake Shore Dr
Suite 200
Decatur, IL 62521-3846

Mailing address

1900 E Lake Shore Dr
Suite 200
Decatur, IL 62521-3846
Phone (217) 464-1030

Other practice location 1

1423 N Jefferson Ave
Springfield, MO 65802-1917
Phone (417) 269-4636

Other practice location 2

5100 N Towne Centre Dr
Ozark, MO 65721-7479
Phone (417) 581-6411

Other practice location 3

1000 E Primrose St Ste 170
Springfield, MO 65807-5192
Phone (417) 269-0930

Other practice location 4

525 Branson Landing Blvd Ste 100
Branson, MO 65616-2152
Phone (417) 348-8646

Other practice location 5

2200 E Cleveland St
Monett, MO 65708-6149
Phone (417) 235-2144

Other practice location 6

1601 Branson Hills Pkwy Ste 130
Branson, MO 65616-9821
Phone (417) 348-8400

Other practice location 7

510 Highway 32 Ste B
Lebanon, MO 65536-5342
Phone (417) 730-5650

Other practice location 8

1819 S National Ave
Springfield, MO 65804-2217
Phone (417) 269-2700

Other practice location 9

3525 E Battlefield St
Springfield, MO 65809-3435
Phone (417) 269-0065

Other practice location 10

501 N Old Wilderness Rd
Nixa, MO 65714-9490
Phone (417) 269-2150

Other identifiers 1

IdentifierTypeStateIssuer
5815191OtherILBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080328000792 IL Practitioner - Physician Assistant 0244316305
I20250507003557 MO Practitioner - Physician Assistant 0244316305 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lester E Cox Medical CentersGroup PAC ID 1254248917, shared by 28 NPIs, 336 clinicians

Practice addresses (Care Compare)

1601 Branson Hills Pkwy
Suite 130
Branson, MO 65616-9908
Phone (417) 348-8400

1819 S National Ave
Springfield, MO 65804-2217

3525 E Battlefield St
Suite 100
Springfield, MO 65809-3434
Phone (417) 269-0065

3801 S National Ave
Springfield, MO 65807-5210
Phone (417) 269-6000

501 N Old Wilderness Rd
Nixa, MO 65714-9490
Phone (417) 269-2150

5100 N Towne Centre Dr
Ozark, MO 65721-7479
Phone (417) 730-5360

525 Branson Landing Blvd
Suite 100
Branson, MO 65616-2152
Phone (417) 348-8646

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers CurrentSince Jun 23, 2025 Accepting new patients
Cox-Monett Hospital, Inc. CurrentSince Jun 23, 2025 Accepting new patients
Skaggs Community Hospital Association CurrentSince Jun 23, 2025 Accepting new patients
Memorial Physician Services CurrentSince Aug 1, 2020 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jun 23, 2025 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jun 23, 2025 Accepting new patients
Skaggs Community Hospital Association CurrentSince Jun 23, 2025 Accepting new patients
Memorial Physician Services CurrentSince Aug 1, 2020 Accepting new patients
Cox-Monett Hospital, Inc. CurrentSince Jun 23, 2025 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jun 23, 2025 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jun 23, 2025 Accepting new patients
Family Medical Center of Chatham, LLC Current Accepting new patients
Lester E. Cox Medical Centers Past Accepting new patients
Community Health Improvement Center Past Accepting new patients
St Marys Hospital Decatur of the Hospital Sisters of the Third Order Past Accepting new patients
Springfield Clinic, LLP Past Accepting new patients
Lester E Cox Medical Centers Past Accepting new patients

Locations

101 E Plummer Blvd
Chatham, IL 62629
Phone (217) 483-3487

1601 Branson Hills Pkwy
Ste 130
Branson, MO 65616
Phone (417) 348-8400

525 Branson Landing Blvd
Ste 100
Branson, MO 65616
Phone (417) 348-8646

510 Highway 32
Ste B
Lebanon, MO 65536
Phone (417) 533-0848

2200 E Cleveland St
Monett, MO 65708
Phone (417) 236-2600

501 N Old Wilderness Rd
Nixa, MO 65714
Phone (417) 269-2150

5100 N Towne Centre Dr
Ozark, MO 65721
Phone (417) 269-2215

1000 E Primrose St
Ste 170
Springfield, MO 65807
Phone (417) 269-0930

1423 N Jefferson Ave
Springfield, MO 65802
Phone (417) 269-6583

1819 S National Ave
Springfield, MO 65804
Phone (417) 269-2700

2750 S Campbell Ave
Springfield, MO 65807
Phone (417) 269-2281

3525 E Battlefield St
Springfield, MO 65809
Phone (417) 269-0065

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

Interoperability endpoints

  • Direct secure messaging: zahcary.sowa.p31@direct.fhn-fqhc.nextgenshare.com

Organizations & group practices 20

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 20

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1861680704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E LAKE SHORE DR",
            "address_2": "SUITE 200",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213846",
            "telephone_number": "217-464-1030",
            "fax_number": "217-464-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E LAKE SHORE DR",
            "address_2": "SUITE 200",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213846",
            "telephone_number": "217-464-1030",
            "fax_number": "217-464-1039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1423 N Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658021917",
            "country_code": "US",
            "telephone_number": "417-269-4636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5100 N Towne Centre Dr",
            "address_purpose": "LOCATION",
            "city": "Ozark",
            "state": "MO",
            "postal_code": "657217479",
            "country_code": "US",
            "telephone_number": "417-581-6411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E Primrose St Ste 170",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075192",
            "country_code": "US",
            "telephone_number": "417-269-0930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 Branson Landing Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656162152",
            "country_code": "US",
            "telephone_number": "417-348-8646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 E Cleveland St",
            "address_purpose": "LOCATION",
            "city": "Monett",
            "state": "MO",
            "postal_code": "657086149",
            "country_code": "US",
            "telephone_number": "417-235-2144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 Branson Hills Pkwy Ste 130",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656169821",
            "country_code": "US",
            "telephone_number": "417-348-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 Highway 32 Ste B",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "MO",
            "postal_code": "655365342",
            "country_code": "US",
            "telephone_number": "417-730-5650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1819 S National Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658042217",
            "country_code": "US",
            "telephone_number": "417-269-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3525 E Battlefield St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658093435",
            "country_code": "US",
            "telephone_number": "417-269-0065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 N Old Wilderness Rd",
            "address_purpose": "LOCATION",
            "city": "Nixa",
            "state": "MO",
            "postal_code": "657149490",
            "country_code": "US",
            "telephone_number": "417-269-2150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOWA",
        "first_name": "ZACHARY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-04",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2020019036",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "5815191",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.