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OBADA DAABOUL MD
NPI 1700579653
Internal Medicine - Gastroenterology in Springfield, IL

Active since May 29, 2023PECOS Enrolled
315 W CARPENTER ST # A, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-5459 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2026, May 29, 2023 (2 updates tracked since 2023).

About Obada Daaboul Md NPPES

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

OBADA DAABOUL MD (NPI 1700579653) is an individual gastroenterology provider in Springfield, Illinois, licensed in Illinois (036179938) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700579653
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameOBADA DAABOULCredential: MD
Location Address315 W CARPENTER ST # ASpringfield, IL 62702-4901
Mailing Address315 W Carpenter St # ASpringfield, IL 62702-4901 · (217) 545-8000 · Fax (217) 545-5459
Phone(217) 545-8000
Fax(217) 545-5459
Sole ProprietorNo
Enumeration DateMay 29, 2023
Last NPPES UpdateMay 7, 20262 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1700579653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in IL · 036179938
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036179938 (IL)
315 W CARPENTER ST # A, Springfield, IL 62702
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Obada Daaboul Md 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 62702 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.

Other Providers at the Same Location NPPES

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

DR. TJ LAMAR WILSON MD
Internal Medicine (Gastroenterology)
315 W CARPENTER ST # A
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000

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 Obada Daaboul's NPI number?

The NPI number for Obada Daaboul is 1700579653. It was assigned to this individual provider in the NPPES registry on May 29, 2023.

Where is Obada Daaboul located?

Obada Daaboul practices at 315 W Carpenter St # A, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Obada Daaboul's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Obada Daaboul enrolled in Medicare?

Yes. Obada Daaboul is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Obada Daaboul was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.