DR. ZIA SHAZAD BARKATULLAH (D.P.M.) – Podiatrist, NPI 1558345975

DR. ZIA SHAZAD BARKATULLAH (D.P.M.) is a healthcare provider. based in Kokomo, Indiana. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. 07000992A (IN). The NPI Number for DR. ZIA SHAZAD BARKATULLAH (D.P.M.) is 1558345975

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. ZIA SHAZAD BARKATULLAH (D.P.M.)
NPI
1558345975
Phone
(765) 453-5892
Address
3611 S REED RD
Enumeration Date
30 November 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
24852821166
Graduation Year
2000 (26 years ago)
PAC ID
6709870850
Group Practice PAC ID
6204175169
Professional Enrollment ID
I20150608000393
Address ID
MO651011572JE221XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

393 PODIATRY in IN

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Provider Addresses for DR. ZIA SHAZAD BARKATULLAH (D.P.M.)

  • 3611, South Reed Road, Terrace Gardens, Kokomo, Howard County, Indiana, 46902, United States

    SUITE 104

    KOKOMO, IN 469023828

    Phone: (765) 453-5892

    Fax: (765) 453-8262

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-06-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150608000393IPodiatryMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46902)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204175169View full group profile
NameSpecialtyState
Podiatry, Sports MedicineMO
P O D I A T R YAR
P O D I A T R YTX
P O D I A T R YIL
P O D I A T R YIL
P O D I A T R YMO

Reviews

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Frequently asked questions

Is there an official ID for DR. ZIA SHAZAD BARKATULLAH (D.P.M.) in U.S. healthcare records?
The official identifier for DR. ZIA SHAZAD BARKATULLAH (D.P.M.) is NPI 1558345975.
Is there an active status for DR. ZIA SHAZAD BARKATULLAH (D.P.M.)?
For scheduling context, DR. ZIA SHAZAD BARKATULLAH (D.P.M.) is shown as active in the registry.
What area of care is associated with DR. ZIA SHAZAD BARKATULLAH (D.P.M.)?
DR. ZIA SHAZAD BARKATULLAH (D.P.M.)'s record emphasizes Podiatrist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. ZIA SHAZAD BARKATULLAH (D.P.M.)?
Directory geography for DR. ZIA SHAZAD BARKATULLAH (D.P.M.) centers on Kokomo, Indiana.
When was this NPI issued?
Enumeration for DR. ZIA SHAZAD BARKATULLAH (D.P.M.) is noted as November 30, 2005 where the registry provides it.

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