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

Dr. Wael Mohammad Otaibi, DO

Individual provider Surgery Physician · NPI 1255452124

Dr. Wael Mohammad Otaibi, DO is a Surgery Physician in Decatur, Illinois. Works from 3 locations. Licensed in Illinois, Michigan, New York and Ohio.

Licensed in
IL, MI, NY, OH
In the registry since
2007
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1770 E Lake Shore Dr Ste 105
Decatur, IL 62521-3800
Phone: (217) 329-1000
Fax: (217) 329-1055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 207 S Pine St, Shelbyville, IL 62565-1749 — (217) 464-1200
  • 1050 Isaac Streets Dr, Oregon, OH 43616-3291 — (419) 720-2242

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036150787 (IL)
Surgery Physician Taxonomy 208600000X · Licence 254927 (NY)
Surgery Physician Taxonomy 208600000X · Licence 5101015634 (MI)
Surgery Physician Taxonomy 208600000X · Licence 34.011232 (OH)

Record details

NPI number1255452124
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 2, 2007
Last updated in NPPESNovember 15, 2019

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