DR. MUHAMMAD JAWAD POPALZAI
NPI 1003051871
Internal Medicine - Hematology & Oncology in Carterville, IL

Active since December 09, 2008PECOS EnrolledAccepts Medicare Assignment
75.73/100
CMS Quality Rating
1400 PIN OAK DRIVE, CARTERVILLE, IL 62918(618) 985-3333(618) 985-1318 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 22, 2022, Sep 28, 2021, Jan 29, 2021 and 1 more (4 updates tracked since 2019).

About Dr. Muhammad Jawad Popalzai NPPES

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

DR. MUHAMMAD JAWAD POPALZAI (NPI 1003051871) is an individual hematology & oncology provider in Carterville, Illinois, licensed in Illinois (036133368) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1003051871
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. MUHAMMAD JAWAD POPALZAI
Location Address1400 PIN OAK DRIVECarterville, IL 62918
Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200
Fax(618) 985-1318
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateDecember 9, 2008
Last NPPES UpdateAugust 22, 20224 updates tracked since enumeration
NPPES CertifiedAugust 22, 2022
NPI 1003051871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in IL · 036133368
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

1400 PIN OAK DRIVE, Carterville, IL 62918

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

Dr. Muhammad Jawad Popalzai 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 ID1052562535
PECOS Enrollment IDI20130731000752
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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
691 services274 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
101 services67 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services27 patients
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.
15 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140011
Location201 S 14th StHerrin, IL 62948 · Williamson County
Emergency services

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140164
Location405 W JacksonCarbondale, IL 62901 · Jackson County
Emergency services Birthing friendly

Harrisburg Medical Center

Acute Care Hospitals · Harrisburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140210
Location100 Doctor Warren Tuttle DrHarrisburg, IL 62946 · Saline County
Emergency services

St Joseph Memorial Hospital

Critical Access Hospitals · Murphysboro, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141334
Location2 South Hospital DriveMurphysboro, IL 62966 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62918 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
$168.44 typical visit price
range $54.80 – $168.44
Typical copayment $42.11 (range $13.70 – $42.11)
Most-billed visit code 99205
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

75.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.09
Promoting Interoperability100
Improvement Activities40
Cost45.26

Other Providers at the Same Location NPPES

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

Internal Medicine (Hematology)
1400 PIN OAK DRIVE
CARTERVILLE, IL 62918

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 Muhammad Popalzai's NPI number?

The NPI number for Muhammad Popalzai is 1003051871. It was assigned to this individual provider in the NPPES registry on December 9, 2008.

Where is Muhammad Popalzai located?

Muhammad Popalzai practices at 1400 Pin Oak Drive, Carterville, IL 62918. The listed phone number is (618) 985-3333.

What is Muhammad Popalzai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Muhammad Popalzai enrolled in Medicare?

Yes. Muhammad Popalzai 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.

Is Muhammad Popalzai affiliated with any hospitals?

According to CMS data, Muhammad Popalzai is affiliated with Herrin Hospital, Memorial Hospital Of Carbondale, Harrisburg Medical Center and St Joseph Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Muhammad Popalzai was last updated on August 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.