GHASSAN DALLOUL (MD) – Interventional Cardiology Physician, NPI 1447466016
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
304 INTERVENTIONAL CARDIOLOGY in MI
Provider Addresses for GHASSAN DALLOUL (MD)
PO BOX 20610
MESA, AZ 852770610
Phone: (480) 985-1093
Fax: (480) 296-7643
Type: Mailing
PO BOX 182005
SHELBY TWP, MI 483182005
Phone: (248) 878-3171
Fax: (248) 928-0916
Type: Mailing
37799 PROFESSIONAL CENTER DR STE 105
LIVONIA, MI 481541123
Phone: (248) 878-3171
Fax: (248) 928-0916
Type: Location
2082, Mesquite Avenue, Lake Havasu City, Mohave County, Arizona, 86403, United States
SUITE A100
LAKE HAVASU CITY, AZ 864036710
Phone: (928) 453-2727
Fax: (928) 453-2828
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 78 Open Payments records for all available years, with a total value of $1,934.
Total Amount is formed as General ($1,934) + Research ($0) + Ownership ($0) = $1,934.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($317).
Total Amount
$1,934
General + Research + Ownership
Payments
78
Total payment records
General Amount
$1,934
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-03-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220301001753 | I | Interventional Cardiology | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 610 | 234 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 533 | 230 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 314 | 266 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 162 | 94 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 96 | 75 | $0 |
Insurance plans in this area (ZIP 85277)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI |
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