MR. KHALEELUR ZACKARIYA PT
NPI 1639126592
Physical Therapist in Elkhart, IN

Active since May 27, 2006Accepts Medicare Assignment
333 W MISHAWAKA RD, ELKHART, IN 46517(574) 293-1550(574) 970-4698 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Khaleelur Zackariya Pt NPPES

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

MR. KHALEELUR ZACKARIYA PT (NPI 1639126592) is an individual physical therapist in Elkhart, Indiana, licensed in Indiana (05006993A) and active in the NPI registry since May 2006. He maintains a secondary practice location in Elkhart and is a graduate of Other (1994).

NPPES Registry Identity

NPI1639126592
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. KHALEELUR ZACKARIYACredential: PT
Location Address333 W MISHAWAKA RDElkhart, IN 46517-1921
Mailing Address51280 Eaglewood DrGranger, IN 46530-4700 · (574) 277-5524 · Fax (574) 970-4698
Fax(574) 970-4698
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateMay 27, 2006
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1639126592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in IN · 05006993A
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
333 W MISHAWAKA RD, Elkhart, IN 46517

Secondary Practice Location 1

Location 11220 E Jackson BlvdElkhart, IN 46516-4419 · Phone (574) 333-9747 · Fax (574) 367-2369

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Khaleelur Zackariya Pt 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 ID2163527870
PECOS Enrollment IDI20070424000633

Medicare Billing Reassignments

3

Medicare enrollment records show Khaleelur Zackariya reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Occupational Therapist
1220 E JACKSON BLVD
Elkhart, IN 46516
  • Reassigned Medicare billing, Indiana enrollment
  • 16 clinicians in this Medicare group
Physical Therapist
11570 E 126TH STREET
Fishers, IN 46037
  • Reassigned Medicare billing, Indiana enrollment
  • 151 clinicians in this Medicare group
Physical Therapist
2141 N DAN JONES RD
Avon, IN 46123
  • Reassigned Medicare billing, Indiana enrollment
  • 33 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46517 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

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

Physical Therapy Assistant
333 W MISHAWAKA RD
ELKHART, IN 46517
Occupational Therapy Assistant
333 W MISHAWAKA RD
ELKHART, IN 46517
Physical Therapy Assistant
333 W MISHAWAKA RD
ELKHART, IN 46517
Physical Therapist
333 W MISHAWAKA RD
ELKHART, IN 46517
Skilled Nursing Facility
333 W MISHAWAKA RD
ELKHART, IN 46517
Physical Therapist
333 W MISHAWAKA RD
ELKHART, IN 46517
Occupational Therapy Assistant
333 W MISHAWAKA RD
ELKHART, IN 46517
Physical Therapist
333 W MISHAWAKA RD
ELKHART, IN 46517

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 Khaleelur Zackariya's NPI number?

The NPI number for Khaleelur Zackariya is 1639126592. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Khaleelur Zackariya located?

Khaleelur Zackariya practices at 333 W Mishawaka Rd, Elkhart, IN 46517. The listed phone number is (574) 293-1550.

What is Khaleelur Zackariya's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Khaleelur Zackariya enrolled in Medicare?

Yes. Khaleelur Zackariya 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.

Which organizations bill Medicare for Khaleelur Zackariya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khaleelur Zackariya reassigns Medicare benefits to 3 organizations: Senior Outpatient Services (Elkhart, IN), Creative Health Care Management LLC (Fishers, IN) and Powerback Rehabilitation LLC (Avon, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Khaleelur Zackariya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Khaleelur Zackariya accept?

Health plans from Anthem Blue Cross and Blue Shield list Khaleelur Zackariya 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.

When was this NPI record last updated?

The NPPES record for Khaleelur Zackariya was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.