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DR. WAEL MOHAMMAD OTAIBI D.O.
NPI 1255452124
Surgery in Decatur, IL

Active since April 02, 2007PECOS Enrolled
1770 E LAKE SHORE DR STE 105, DECATUR, IL 62521(217) 329-1000(217) 329-1055 Get Directions Write a Review

NPPES record last updated: November 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2019, Jan 23, 2019 (2 updates tracked since 2019).

About Dr. Wael Mohammad Otaibi D.o. NPPES

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

DR. WAEL MOHAMMAD OTAIBI D.O. (NPI 1255452124) is an individual surgery provider in Decatur, Illinois, licensed in Illinois (036150787) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255452124
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. WAEL MOHAMMAD OTAIBICredential: D.O.
Location Address1770 E LAKE SHORE DR STE 105Decatur, IL 62521-3800
Mailing Address3051 Hollis Dr Fl 2Springfield, IL 62704-7452 · (217) 523-5432 · Fax (217) 492-9643
Phone(217) 329-1000
Fax(217) 329-1055
Sole ProprietorNo
Enumeration DateApril 2, 2007
Last NPPES UpdateNovember 15, 20192 updates tracked since enumeration
✔ NPI 1255452124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in IL · 036150787✔ Licensed in NY · 254927✔ Licensed in MI · 5101015634✔ Licensed in OH · 34.011232
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1770 E LAKE SHORE DR STE 105, Decatur, IL 62521
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Secondary Practice Locations 2

Location 11050 Isaac Streets Dr, Suite 134Oregon, OH 43616-3291 · Phone (419) 720-2242 · Fax (419) 720-2897
Location 2207 S Pine StShelbyville, IL 62565-1749 · Phone (217) 464-1200 · Fax (217) 464-1210

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Wael Mohammad Otaibi D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62521 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
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 12

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

DR. JEANNE MARIE KAIROUZ MD
Internal Medicine (Cardiovascular Disease)
1770 E LAKE SHORE DR STE 105
DECATUR, IL 62521
Macon County (217) 422-6100
ELLEN M ZINDEL N.P.
Nurse Practitioner (Family)
1770 E LAKE SHORE DR STE 105
DECATUR, IL 62521
Macon County (217) 422-6100
EMILY A ARTIME PA
Physician Assistant
1770 E LAKE SHORE DR STE 105
DECATUR, IL 62521
Macon County (217) 329-1000
AMIT SATISH DANDE MD
Internal Medicine (Interventional Cardiology)
1770 E LAKE SHORE DR STE 105
DECATUR, IL 62521
Macon County (217) 422-6100
DR. PATRICK B MURPHY M.D.
Internal Medicine (Interventional Cardiology)
1770 E LAKE SHORE DR STE 105
DECATUR, IL 62521
Macon County (217) 422-6100
FIDEL MATA P.A.
Physician Assistant (Medical)
1770 E LAKE SHORE DR STE 105
DECATUR, IL 62521
Macon County (217) 422-6100
MRS. AMBER N RIDGEWAY NP
Nurse Practitioner (Family)
1770 E LAKE SHORE DR STE 105
DECATUR, IL 62521
Macon County (217) 422-6100
EMILY ANN FOSTER FNP
Nurse Practitioner (Family)
1770 E LAKE SHORE DR STE 105
DECATUR, IL 62521
Macon County (217) 422-6100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wael Otaibi's NPI number?

The NPI number for Wael Otaibi is 1255452124. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Where is Wael Otaibi located?

Wael Otaibi practices at 1770 E Lake Shore Dr Ste 105, Decatur, IL 62521. The listed phone number is (217) 329-1000.

What is Wael Otaibi's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Wael Otaibi enrolled in Medicare?

Yes. Wael Otaibi is registered in the Medicare PECOS enrollment system.

What insurance does Wael Otaibi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and McLaren Health Plan Community and 1 other insurer list Wael Otaibi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wael Otaibi was last updated on November 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.