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MAHMOUD JALLAD DDS, MSD
NPI 1083013171
Dentist in Herrin, IL

Active since August 14, 2014PECOS Enrolled
3024 S PARK AVE, HERRIN, IL 62948(833) 337-9563 Get Directions Write a Review

NPPES record last updated: September 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 5, 2022, Oct 11, 2016, Apr 1, 2016 (3 updates tracked since 2016).

About Mahmoud Jallad Dds, Msd NPPES

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

MAHMOUD JALLAD DDS, MSD (NPI 1083013171) is an individual dentist in Herrin, Illinois, licensed in Illinois (019.029749) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083013171
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMAHMOUD JALLADCredential: DDS, MSD
Location Address3024 S PARK AVEHerrin, IL 62948-3721
Mailing Address3205 Arabian CtHerrin, IL 62948-3788 · (334) 354-7852 · Fax (334) 354-7852
Phone(833) 337-9563
Sole ProprietorYes
Enumeration DateAugust 14, 2014
Last NPPES UpdateSeptember 5, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2022
✔ NPI 1083013171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019.029749
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3024 S PARK AVE, Herrin, IL 62948
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mahmoud Jallad Dds, Msd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62948 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 2

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

DR. SYED MUBEEN MAHMOOD ALNOOR DMD
Dentist (General Practice)
3024 S PARK AVE
HERRIN, IL 62948
Williamson County (618) 727-7565
HERRIN DENTAL LLC
Clinic/Center (Dental)
3024 S PARK AVE
HERRIN, IL 62948
Williamson County (833) 337-9563

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 Mahmoud Jallad's NPI number?

The NPI number for Mahmoud Jallad is 1083013171. It was assigned to this individual provider in the NPPES registry on August 14, 2014.

Where is Mahmoud Jallad located?

Mahmoud Jallad practices at 3024 S Park Ave, Herrin, IL 62948. The listed phone number is (833) 337-9563.

What is Mahmoud Jallad's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Mahmoud Jallad enrolled in Medicare?

Yes. Mahmoud Jallad is registered in the Medicare PECOS enrollment system.

What insurance does Mahmoud Jallad accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Mahmoud Jallad 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 Mahmoud Jallad was last updated on September 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.