Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Khaleelur R Zackariya Sr., MD

Individual provider Hospitalist Physician · NPI 1306854203

Dr. Khaleelur R Zackariya Sr., MD is a Hospitalist in Mishiwaka, Indiana. Qualified in 1993, 33 years ago. Practices with Galen Inpatient Physicians PC, a 1,031-clinician group and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
33
Licensed in
IL, IN
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5215 Holycross Pkwy
Mishiwaka, IN 46545
Phone: (574) 237-7168
Fax: (574) 472-6262
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Internal Medicine) Physician (primary) Taxonomy 207RA0401X · Licence 01066056A (IN)
Hospitalist Physician Taxonomy 208M00000X · Licence 01066056A (IN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 036098582 (IL)

Record details

NPI number1306854203
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 4, 2006
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Galen Inpatient Physicians Pc — 1031 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount