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BANAN WAEL OTAIBI MD
NPI 1285379610
Surgery in Tucson, AZ

Active since April 29, 2022PECOS Enrolled
1501 N CAMPBELL AVE, TUCSON, AZ 85724(520) 626-7747(520) 626-2247 Get Directions Write a Review

NPPES record last updated: April 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Banan Wael Otaibi Md NPPES

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

BANAN WAEL OTAIBI MD (NPI 1285379610) is an individual surgery provider in Tucson, Arizona, licensed in Arizona (R79483) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285379610
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameBANAN WAEL OTAIBICredential: MD
Location Address1501 N CAMPBELL AVETucson, AZ 85724-0001
Mailing AddressPo Box 245058Tucson, AZ 85724-5058 · (520) 626-7747 · Fax (520) 626-2247
Phone(520) 626-7747
Fax(520) 626-2247
Sole ProprietorYes
Enumeration DateApril 29, 2022
NPPES CertifiedApril 29, 2022
✔ NPI 1285379610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AZ · R79483
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.
1501 N CAMPBELL AVE, Tucson, AZ 85724
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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 (PECOS)

Banan Wael Otaibi Md 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 85724 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 20

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

MR. DOUGLAS FRANK LARSON PH.D.
Perfusionist
1501 N CAMPBELL AVE, SUITE 4402 ARIZONA HEALTH SCIENCE CENTER
TUCSON, AZ 85724
Pima County (520) 626-6339
MARTIN DEMANT
Pediatrics
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 626-6507
STEPHANIE RUNKE MD
Obstetrics & Gynecology
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 694-2530
ASHLEY AZIZI ASSADI MD
Pediatrics
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 626-7944
STUART HAMEROFF MD
Anesthesiology
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 694-8888
JOHN GUISTO MD
Emergency Medicine
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 874-3500
BALDASSARRE STEA MD, PHD
Radiology (Radiation Oncology)
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 694-7236
NAOMI E RANCE MD, PHD
Pathology (Neuropathology)
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 874-7400

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 Banan Otaibi's NPI number?

The NPI number for Banan Otaibi is 1285379610. It was assigned to this individual provider in the NPPES registry on April 29, 2022.

Where is Banan Otaibi located?

Banan Otaibi practices at 1501 N Campbell Ave, Tucson, AZ 85724. The listed phone number is (520) 626-7747.

What is Banan Otaibi's specialty?

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

Is Banan Otaibi enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Banan Otaibi was last updated on April 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.