RAED AL-DALLOW M.D.
NPI 1164572095
Internal Medicine - Interventional Cardiology in Carbondale, IL

Active since January 11, 2007PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
409 W OAK ST, CARBONDALE, IL 62901(618) 529-4455(618) 351-1287 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2022, Dec 30, 2021, Oct 20, 2020 and 5 more (8 updates tracked since 2016).

About Raed Al-dallow M.d. NPPES

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

RAED AL-DALLOW M.D. (NPI 1164572095) is an individual interventional cardiology provider in Carbondale, Illinois, licensed in Illinois (036106632) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1164572095
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameRAED AL-DALLOWCredential: M.D.
Location Address409 W OAK STCarbondale, IL 62901-1464
Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200
Fax(618) 351-1287
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJanuary 11, 2007
Last NPPES UpdateAugust 24, 20228 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
NPI 1164572095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in IL · 036106632
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 036106632 (IL)
409 W OAK ST, Carbondale, IL 62901

Secondary Practice Locations 4

Location 1100 Dr Warren Tuttle DrHarrisburg, IL 62946-2718 · Phone (618) 529-4455 · Fax (618) 351-1287
Location 25383 State Route 154Pinckneyville, IL 62274-3342 · Phone (618) 529-4455 · Fax (618) 351-1287
Location 33905 W Ernestine DrMarion, IL 62959-5800 · Phone (618) 529-4455 · Fax (618) 351-1287
Location 4217 S Park Ave Ste 2Herrin, IL 62948-3611 · Phone (618) 529-4455 · Fax (618) 351-1287

Other Identifiers 2

Other00390550IL · Railroad
Medicaid036106632IL

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

Raed Al-dallow 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 ID4688675903
PECOS Enrollment IDI20070129000474
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 44

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
2,584 services1,695 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
587 services578 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
263 services112 patients
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.
244 services216 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
216 services209 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
179 services97 patients

Hospital Affiliations CMS Care Compare 5

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

Pinckneyville Community Hospital

Critical Access Hospitals · Pinckneyville, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141307
Location5383 State Route 154Pinckneyville, IL 62274 · Perry County
Emergency services

Marshall Browning Hospital

Critical Access Hospitals · Du Quoin, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141331
Location900 North Washington StreetDu Quoin, IL 62832 · Perry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
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.

Internal Medicine (Interventional Cardiology)
409 W OAK ST
CARBONDALE, IL 62901
Physician Assistant
409 W OAK ST
CARBONDALE, IL 62901
Internal Medicine (Cardiovascular Disease)
409 W OAK ST
CARBONDALE, IL 62901
Thoracic Surgery (Cardiothoracic Vascular Surgery)
409 W OAK ST
CARBONDALE, IL 62901
Physician Assistant
409 W OAK ST
CARBONDALE, IL 62901
Internal Medicine (Interventional Cardiology)
409 W OAK ST
CARBONDALE, IL 62901
Internal Medicine (Cardiovascular Disease)
409 W OAK ST
CARBONDALE, IL 62901
Nuclear Medicine (Nuclear Cardiology)
409 W OAK ST
CARBONDALE, IL 62901

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 Raed Al-dallow's NPI number?

The NPI number for Raed Al-dallow is 1164572095. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Raed Al-dallow located?

Raed Al-dallow practices at 409 W Oak St, Carbondale, IL 62901. The listed phone number is (618) 529-4455.

What is Raed Al-dallow's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Raed Al-dallow enrolled in Medicare?

Yes. Raed Al-dallow 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 Raed Al-dallow affiliated with any hospitals?

According to CMS data, Raed Al-dallow is affiliated with Herrin Hospital, Memorial Hospital Of Carbondale, Harrisburg Medical Center, Pinckneyville Community Hospital and Marshall Browning Hospital.

When was this NPI record last updated?

The NPPES record for Raed Al-dallow was last updated on August 24, 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.