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

Dr. Komal D'Souza Zacharia, MD

Individual provider Internal Medicine Physician · NPI 1629367222

Dr. Komal D'Souza Zacharia, MD is a Hospice/Palliative Care in Lake Forest, Illinois. Qualified in 2011, 15 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Illinois.

Years since qualifying
15
Licensed in
FL, IL
In the registry since
2011
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1000 N Westmoreland Rd
Lake Forest, IL 60045-1658
Phone: (847) 535-7058
Fax: (847) 535-7023
Show map & directions

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

Additional practice locations (1)

  • 4620 N 22nd St, Tampa, FL 33610-6205 — (813) 272-6240

Specialties & licences

Hospice and Palliative Medicine (Internal Medicine) Physician (primary) Taxonomy 207RH0002X · Licence 036150485 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME120966 (FL)
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X · Licence 036150485 (IL)

Record details

NPI number1629367222
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2011
Last updated in NPPESDecember 29, 2021
Certification dateDecember 29, 2021

Medicare enrollment

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

Medicare specialtyHOSPICE/PALLIATIVE CARE
Also practisesGERIATRIC MEDICINE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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