DR. REFAT DAHERDIAB KHADER (M.D.) – Anesthesiology Physician, NPI 1073505988
Anesthesiology Physician
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NPPES metrics only — not quality of care.
2,631 ANESTHESIOLOGY in IL
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Provider Addresses for DR. REFAT DAHERDIAB KHADER (M.D.)
Memorial Hospital of Carbondale, 405, West Jackson Street, Carbondale, Jackson County, Illinois, 62902, United States
CARBONDALE, IL 629011462
Phone: (618) 549-0721
Fax: (618) 529-0449
Type: Location
2 S Hospital Dr
Murphysboro, IL 629663333
Phone: (618) 684-3165
Fax: (618) 529-0529
Type: Location
201 S 14th St
Herrin, IL 629483631
Phone: (618) 942-2171
Fax: (618) 351-4919
Type: Location
510 Lincoln Dr
Herrin, IL 629486334
Phone: (618) 997-6800
Fax: (618) 993-8188
Type: Location
PO BOX 3988
CARBONDALE, IL 629023988
Phone: (618) 457-5200
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2005-08-01
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 |
|---|---|---|---|---|
| I20050801000124 | I | Anesthesiology | IL | 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 |
|---|---|---|---|---|
| 00910 | Anesthesia for other procedure on urinary system through urethra | 16 | 16 | $0 |
Insurance plans in this area (ZIP 62901)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | IL | 01402 | Anesthesia for open or endoscopic total knee joint replacement | 17 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology, Pain Management | WI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| - | IL | |
| Certified Registered Nurse Anesthetist (Crna) | NC | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| A N E S T H E S I O L O G Y | IL | |
| - | IL | |
| Anesthesiology, Interventional Pain Management, Pain Management | IL |
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