Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mohammed Mazen Dallal, MD

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1366434995

Mohammed Mazen Dallal, MD is a Pulmonary Disease in Dayton, Ohio. Qualified in 1985, 41 years ago. Practices with Pulmonary and Critical Care Consultants, Inc, a 34-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
41
Licensed in
OH
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1520 S Main St # 2
Dayton, OH 45409-2698
Phone: (937) 461-5815
Fax: (937) 461-2896
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 35067761 (OH)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 35067761 (OH)
Sleep Medicine (Internal Medicine) Physician Taxonomy 207RS0012X · Licence 35067761 (OH)

Record details

NPI number1366434995
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 19, 2005
Last updated in NPPESDecember 14, 2022
Certification dateDecember 14, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Pulmonary And Critical Care Consultants, Inc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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