RAED AL-DALLOW M.D. NPI 1164572095

NPI Information

  • NPI: 1164572095
  • Provider Name: RAED AL-DALLOW, M.D.
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 409 W OAK ST
    CARBONDALE, IL
    ZIP 62901
  • Phone: (618) 529-4455

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NPI Details

Raed Al-dallow, M.D. is an interventional cardiology internal medicine in Carbondale, IL with 29 years of experience. The provider is 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. Raed Al-dallow, M.D. NPI is 1164572095. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

409 W OAK ST
CARBONDALE, IL
ZIP 62901-464
Phone: (618) 529-4455
Fax: (618) 351-1287

The NPI 1164572095 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days (HCPCS:93296)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days (HCPCS:93294)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec (HCPCS:G2066)
  • Evaluation of cardiac rhythm monitor system, remote up to 30 days (HCPCS:93298)
  • Ultrasound of heart, follow-up (HCPCS:93308)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional (HCPCS:93229)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional (HCPCS:93228)
  • Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days (HCPCS:93295)
  • Ultrasound of heart blood flow, valves and chambers, follow-up (HCPCS:93321)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist (HCPCS:93458)
  • Evaluation of single, dual, multiple lead or leadless pacemaker system (HCPCS:93288)
  • Review by radiologist of arm or leg artery image (HCPCS:75710)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Ultrasound of heart with color-depicted blood flow, rate and valve function (HCPCS:93325)
  • Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch (HCPCS:92928)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Balloon dilation of artery of leg (HCPCS:37224)
  • Ultrasound of heart blood flow, valves and chambers (HCPCS:93320)
  • Review by radiologist of both arms or legs arteries image (HCPCS:75716)
  • Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist (HCPCS:36223)
  • Ultrasound of heart with probe in esophagus, with report (HCPCS:93312)
  • Electrocardiogram (ecg) 2-day continuous with review by health care professional (HCPCS:93227)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Electrocardiogram (ecg) 2-day continuous with review and report by health care professional (HCPCS:93224)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • External shock to heart to regulate heart beat (HCPCS:92960)
  • Review by radiologist of abdominal aorta image (HCPCS:75625)
  • Programming of dual lead pacemaker system (HCPCS:93280)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • Insertion of tube in bypass graft for diagnosis with review by radiologist (HCPCS:93455)
  • Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional (HCPCS:93272)
  • Nuclear medicine study of heart pumping function by labeling red blood cells with measurement of internal blood volume ejected with every beat over multiple cycles (HCPCS:78472)
  • Coronary angioplasty and stenting (HCPCS:NAN05)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 1/11/2007 and was last updated on 8/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease036106632ILLINOISNo
2207RI0011XInternal MedicineInterventional Cardiology036106632ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100390550OTHERILLINOISRAILROAD
2036106632MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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