Marija Zakarija, MD
Individual provider Active NPI Emergency Medical Services (Emergency Medicine) Physician · Boscobel, WI
NPI 1932136181 · NPPES record last updated Dec 7, 2020
Key facts
- NPI
- 1932136181
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician 207PE0004X
- License
- 036055303 (IL)
- Practice address
- 205 Parker St
Boscobel, WI 53805 - Phone
- (608) 375-4112
- NPI assigned
- Jun 26, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 32
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Hospital of Franciscan Sisters Inc
Thomas H Boyd Memorial Hospital
Practice addresses (Care Compare)
201 8TH Ave SE
Oelwein, IA 50662-2447
Phone (319) 283-6000
800 School St
Carrollton, IL 62016-1436
Phone (217) 942-6946
Hospital & facility affiliations
- Mercyone Oelwein Medical Center
- Thomas H Boyd Memorial Hospital
- Mercyone Dyersville Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in IL, WI, IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050526000123 | IL | Practitioner - Emergency Medicine | 6103868450 | Reassigns benefits to 5 organizations |
| I20080225000239 | WI | Practitioner - Emergency Medicine |
6103868450 | Reassigns benefits to 4 organizations |
| I20190909002497 | IA | Practitioner - Emergency Medicine |
6103868450 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036055303 | IL | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Community Hospital | Emergency Medicine | Current |
Accepting new patients |
| Tri-County Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Central Community Hospital | Current |
Accepting new patients | |
| Mercy Medical Center-Dyersville | Current |
Accepting new patients | |
| Mercy Hospital of Franciscan Sisters Inc | Emergency Medicine | Current |
Accepting new patients |
| Moundview Memorial Hospital & Clinics, Inc | Current | Accepting new patients | |
| Memorial Hospital Inc | Current |
Accepting new patients | |
| Memorial Hospital of Boscobel | Current |
Accepting new patients | |
| Tri-County Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Thomas H. Boyd Memorial Hospital | Current |
Accepting new patients | |
| Moundview Memorial Hospital & Clinics, Inc. | Current |
Accepting new patients | |
| Memorial Hospital of Boscobel | Current |
Accepting new patients | |
| Carle Eureka Hospital | Current | Accepting new patients | |
| Thomas H. Boyd Memorial Hospital | Current |
Accepting new patients | |
| Mercy Hospital of Franciscan Sisters Inc | Current | Accepting new patients | |
| Advocate Health and Hospitals Corp. | Current |
Accepting new patients | |
| Franklin General Hospital | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Carle West Physician Group Inc | Current |
Accepting new patients | |
| Tri-County Memorial Hospital, Inc. | Current | Accepting new patients | |
| Mercy Hospital of Franciscan Sisters Inc | Current |
Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current |
Accepting new patients | |
| Prairie Emergency Group, LTD. | Emergency Medical Services | Past | Accepting new patients |
| Jeffrey S. Leider, MD,PC | Past | Accepting new patients | |
| Boniface Orthopaedics, Inc. | Past | Accepting new patients | |
| Princeton Emergency Services, LLC | Emergency Medicine | Past | Accepting new patients |
| Central Illinois Neuroradiology, LTD | Past | Accepting new patients | |
| Heart Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
Locations
515 College St
Cedar Falls, IA 50613
Phone (319) 268-3000
1111 3rd St SW
Dyersville, IA 52040
Phone (563) 875-2953
901 Davidson St NW
Elkader, IA 52043
Phone (563) 245-7000
201 8th Ave SE
Oelwein, IA 50662
Phone (319) 283-4321
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
595 William R Latham SR Dr
Bourbonnais, IL 60914
Phone (815) 932-8944
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
800 School St
Carrollton, IL 62016
Phone (217) 942-3600
75 Remittance Dr
Dept 6128
Chicago, IL 60675
29373 Network Pl
Chicago, IL 60673
422 W White St
Clinton, IL 61727
Phone (217) 935-9570
101 S Major St
Eureka, IL 61530
Phone (309) 268-2172
1120 N Melvin St
Gibson City, IL 60936
Phone (217) 355-1684
1304 Franklin Ave
Normal, IL 61761
Phone (309) 268-3590
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112
402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331
N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101
18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712
Interoperability endpoints
- mzakarija3962692@direct.trinity-health.org
- mzakarija317083@direct.gundersenhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 24441 | WI | |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 036055303 | IL | Yes |
Addresses
Primary practice location
205 Parker St
Boscobel, WI 53805
Mailing address
611 W. Park St
Fapc
Urbana, IL 61801
Other practice location 1
101 S Major St
Eureka, IL 61530-1246
Phone (309) 467-2371
Other practice location 2
101 S Major St
Eureka, IL 61530-1246
Phone (309) 467-2371
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0360553032 | Medicaid | IL | |
| 0360553034 | Medicaid | IL | |
| 30398100 | Medicaid | WI | |
| 05721369 | Other | IL | BC/BS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | HIM@nhmhn.cernerdirect.com | Direct |
Other providers in Boscobel, WI
- Kurt Wilhelm II
- Marc L Wilkinson
- Grant L Williams
- Lisa Mary Witter
- Tara Lee Wood
- Casey Lee Zimpel
- Yvonne Zubaty
All providers in Boscobel, WI · Emergency Medical Services (Emergency Medicine) Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.