RAED AL-DALLOW (M.D.) – Interventional Cardiology Physician, NPI 1164572095

RAED AL-DALLOW (M.D.) is a healthcare provider. based in Harrisburg, Illinois. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE, INTERVENTIONAL CARDIOLOGY. They hold the professional credentials M.D.. They hold a License No. 036106632 (IL). The NPI Number for RAED AL-DALLOW (M.D.) is 1164572095

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
RAED AL-DALLOW (M.D.)
NPI
1164572095
Phone
(618) 529-4455
Address
100 Dr Warren Tuttle Dr
Enumeration Date
11 January 2007
Last Update Date
24 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6185294455
Graduation Year
1997 (29 years ago)
PAC ID
4688675903
Group Practice PAC ID
3678677390
Professional Enrollment ID
I20070129000474
Address ID
IL629011414CA409XXSTXX400

Contacts

Secure Messaging
raldallow13927@sih.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,594 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IL

Provider Addresses for RAED AL-DALLOW (M.D.)

  • 100 Dr Warren Tuttle Dr

    Harrisburg, IL 629462718

    Phone: (618) 529-4455

    Fax: (618) 351-1287

    Type: Location

  • 5383 State Route 154

    Pinckneyville, IL 622743342

    Phone: (618) 529-4455

    Fax: (618) 351-1287

    Type: Location

  • 3905 W Ernestine Dr

    Marion, IL 629595800

    Phone: (618) 529-4455

    Fax: (618) 351-1287

    Type: Location

  • 217 S Park Ave Ste 2

    Herrin, IL 629483611

    Phone: (618) 529-4455

    Fax: (618) 351-1287

    Type: Location

  • Carbondale Post Office, Main Street, Carbondale, Osage County, Kansas, 66414, United States

    CARBONDALE, IL 629023988

    Phone: (618) 457-5200

    Type: Mailing

  • 409, West Oak Street, Carbondale, Jackson County, Illinois, 62901, United States

    CARBONDALE, IL 629011464

    Phone: (618) 529-4455

    Fax: (618) 351-1287

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $1,601.

Total Amount is formed as General ($1,601) + Research ($0) + Ownership ($0) = $1,601.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Boston Scientific Corporation ($542).

Total Amount

$1,601

General + Research + Ownership

Payments

42

Total payment records

General Amount

$1,601

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2007-01-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070129000474IInterventional CardiologyILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2,2921,618$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function754734$0
99214Established patient office or other outpatient visit, 30-39 minutes292266$0
93296Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days284130$0
93880Ultrasound of both sides of head and neck blood flow211203$0
View full utilization report →

Insurance plans in this area (ZIP 62946)

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Provider's Procedures

RAED AL-DALLOW (M.D.) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL CARDIOLOGYIL92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin4136
INTERVENTIONAL CARDIOLOGYIL93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report1329792
INTERVENTIONAL CARDIOLOGYIL93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart6868

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678677390View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YIL
Cardiovascular Disease (Cardiology)IL
-IL
Emergency MedicineIL
Nurse PractitionerMO
Nurse PractitionerIL
Emergency MedicineIL
-IL
N E U R O L O G YIL
U R O L O G YIL

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Frequently asked questions

Where can patients find RAED AL-DALLOW (M.D.)'s NPI?
You can confirm RAED AL-DALLOW (M.D.) with NPI 1164572095; it appears in the national provider directory.
Is RAED AL-DALLOW (M.D.) active in the national directory?
RAED AL-DALLOW (M.D.)'s public NPI profile is in an active state.
What kind of provider is RAED AL-DALLOW (M.D.)?
The page reflects Interventional Cardiology Physician for RAED AL-DALLOW (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for RAED AL-DALLOW (M.D.)?
We surface Harrisburg, Illinois for RAED AL-DALLOW (M.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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