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BILAL ZAKRIA M.D.
NPI 1295083210
Hospitalist in Oak Park, IL

Active since August 23, 2012PECOS EnrolledAccepts Medicare Assignment
101 MADISON ST, OAK PARK, IL 60302(708) 486-2700 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 15, 2026, May 27, 2025, Oct 5, 2018 (3 updates tracked since 2018).

About Bilal Zakria M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BILAL ZAKRIA M.D. (NPI 1295083210) is an individual hospitalist provider in Oak Park, Illinois, licensed in Illinois (036157814) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Loretto Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1295083210
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameBILAL ZAKRIACredential: M.D.
Location Address101 MADISON STOak Park, IL 60302-4278
Mailing Address600 N Fairbanks Ct Unit 3106Chicago, IL 60611-5865 · (347) 885-9936
Phone(708) 486-2700
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 23, 2012
Last NPPES UpdateMay 15, 20263 updates tracked since enumeration
NPPES CertifiedMay 15, 2026
✔ NPI 1295083210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in IL · 036157814
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036157814 (IL)
101 MADISON ST, Oak Park, IL 60302
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bilal Zakria M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638463094
PECOS Enrollment IDI20211119000972
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
59 services24 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Loretto Hospital

Acute Care Hospitals · Chicago, IL
OwnershipVoluntary non-profit - Other
CMS Certification Number140083
Location645 South Central AveChicago, IL 60644 · Cook County
Emergency services

St Bernard Hospital

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140103
Location326 W 64th StChicago, IL 60621 · Cook County
Emergency services

Advocate Illinois Masonic Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140182
Location836 West Wellington AvenueChicago, IL 60657 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60302 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
93%263 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers38 claims38 services$16.68 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers12 claims12 services$907.03 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers38 claims38 services$75.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. DONNA ENGLISH LCPC
Counselor (Professional)
101 MADISON ST
OAK PARK, IL 60302
Cook County (708) 859-8004
SAMANTHA MOORE
Nurse Practitioner (Gerontology)
101 MADISON ST
OAK PARK, IL 60302
Cook County (708) 486-2700
STEPHANIE ELIZABETH BARTKOWIAK LCPC
Counselor (Mental Health)
101 MADISON ST
OAK PARK, IL 60302
Cook County (708) 859-8004
DONNA COTTON, PSYD, LLC
Community/Behavioral Health
101 MADISON ST, #401
OAK PARK, IL 60302
Cook County (708) 386-1253
YOLANDA K BRADFORD FNP-C
Nurse Practitioner
101 MADISON ST
OAK PARK, IL 60302
Cook County (708) 486-2700
HILDIE B ERICKSEN LCPC
Counselor (Professional)
101 MADISON ST
OAK PARK, IL 60302
Cook County (708) 859-8004
DR. PAMELA JEAN REYNOLDS D.D.S.
Dentist (General Practice)
101 MADISON ST, SUITE 301
OAK PARK, IL 60302
Cook County (708) 383-0500
DR. NATALIE A LAYNE D.D.S
Dentist (General Practice)
101 MADISON ST, STE 301
OAK PARK, IL 60302
Cook County (630) 638-4185

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bilal Zakria's NPI number?

The NPI number for Bilal Zakria is 1295083210. It was assigned to this individual provider in the NPPES registry on August 23, 2012.

Where is Bilal Zakria located?

Bilal Zakria practices at 101 Madison St, Oak Park, IL 60302. The listed phone number is (708) 486-2700.

What is Bilal Zakria's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Bilal Zakria enrolled in Medicare?

Yes. Bilal Zakria is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Bilal Zakria accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Bilal Zakria as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Bilal Zakria affiliated with any hospitals?

According to CMS data, Bilal Zakria is affiliated with Loretto Hospital, St Bernard Hospital and Advocate Illinois Masonic Medical Center.

When was this NPI record last updated?

The NPPES record for Bilal Zakria was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.