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DR. REFAT DAHERDIAB KHADER M.D.
NPI 1073505988
Anesthesiology in Carbondale, IL

Active since August 17, 2005PECOS EnrolledAccepts Medicare Assignment
85.73/100
CMS Quality Rating
405 W JACKSON ST, CARBONDALE, IL 62901(618) 549-0721(618) 529-0449 Get Directions Write a Review

NPPES record last updated: September 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 24, 2021, Nov 25, 2020, Oct 16, 2020 (3 updates tracked since 2020).

About Dr. Refat Daherdiab Khader M.d. NPPES

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

DR. REFAT DAHERDIAB KHADER M.D. (NPI 1073505988) is an individual anesthesiology provider in Carbondale, Illinois, licensed in Illinois (036099655) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1073505988
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. REFAT DAHERDIAB KHADERCredential: M.D.
Location Address405 W JACKSON STCarbondale, IL 62901-1462
Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200
Phone(618) 549-0721
Fax(618) 529-0449
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateAugust 17, 2005
Last NPPES UpdateSeptember 24, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2021
✔ NPI 1073505988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in IL · 036099655
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
405 W JACKSON ST, Carbondale, IL 62901
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1201 S 14th StHerrin, IL 62948-3631 · Phone (618) 942-2171 ext. 65137 · Fax (618) 351-4919
Location 2510 Lincoln DrHerrin, IL 62948-6334 · Phone (618) 997-6800 ext. 1125 · Fax (618) 993-8188
Location 32 S Hospital DrMurphysboro, IL 62966-3333 · Phone (618) 684-3165 ext. 65137 · Fax (618) 529-0529

Other Identifiers 1

Other214881IL · Ngs Group Ptan

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. Refat Daherdiab Khader 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 ID1456242601
PECOS Enrollment IDI20050801000124
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 2

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.

Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
13 services13 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

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

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.

85.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.85
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

MR. LUKAS WARD PA
Physician Assistant
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
RUPAL PARMAR M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
SCOTT A. COOPER M.D.
Emergency Medicine
405 W JACKSON ST, MEMORIAL HOSPITAL
CARBONDALE, IL 62901
Jackson County (618) 549-0721
LONG HA HUYNH M.D., PH.D.
Anesthesiology
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
MS. BRITNEY NICOLE ARNOLD PA-C
Physician Assistant
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
MR. DAN EDWARD MILLER CRNA
Nurse Anesthetist, Certified Registered
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
AMANDA M RYDEN MD
Emergency Medicine
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
MS. NICOLE A JOHNSON PA-C
Physician Assistant
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721

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 Refat Khader's NPI number?

The NPI number for Refat Khader is 1073505988. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Refat Khader located?

Refat Khader practices at 405 W Jackson St, Carbondale, IL 62901. The listed phone number is (618) 549-0721.

What is Refat Khader's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Refat Khader enrolled in Medicare?

Yes. Refat Khader 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 Refat Khader affiliated with any hospitals?

According to CMS data, Refat Khader is affiliated with Herrin Hospital, Memorial Hospital Of Carbondale and St Joseph Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Refat Khader was last updated on September 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.