OSAMA AL DEYABAT MBBS
NPI 1174255053
Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist in Peoria, IL

Q: What is Osama Al Deyabat's NPI number?

The NPI number for Osama Al Deyabat is 1174255053. It was assigned to this individual provider in the NPPES registry on June 29, 2022.

Q: What is Osama Al Deyabat's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Pediatric Ophthalmology and Strabismus Specialist, with taxonomy code 207WX0110X.

Q: When was this NPI record last updated?

The NPPES record for Osama Al Deyabat was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 29, 2022PECOS EnrolledAccepts Medicare Assignment

4927 N GLEN PARK PLACE RD, PEORIA, IL 61614(309) 308-3500 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Osama Al Deyabat Mbbs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OSAMA AL DEYABAT MBBS (NPI 1174255053) is an individual pediatric ophthalmology and strabismus specialist in Peoria, Illinois, licensed in Illinois (036171176) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1174255053

Entity TypeIndividualMale

Primary Taxonomy207WX0110X

Provider Legal NameOSAMA AL DEYABATCredential: MBBS

Location Address4927 N GLEN PARK PLACE RDPeoria, IL 61614-4676

Mailing Address1601 W Coneflower Dr Apt 4302Peoria, IL 61615-7438 · (312) 774-1080

Phone(309) 308-3500

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 29, 2022

Last NPPES UpdateSeptember 23, 2024

NPPES CertifiedSeptember 23, 2024

✔ NPI 1174255053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0110X

License✔ Licensed in IL · 036171176

Definition

An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.

Also ListedOphthalmologyTaxonomy 207W00000X · License 036171176 (IL)

Also ListedOphthalmology · Neuro-ophthalmologyTaxonomy 207WX0109X · License 036171176 (IL)

4927 N GLEN PARK PLACE RD, Peoria, IL 61614

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Osama Al Deyabat Mbbs is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072995547

PECOS Enrollment IDI20240821004401

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

15 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140067

Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAINT FRANCIS MEDICAL CENTER

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