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
Mailing address3051 Hollis Dr Fl 2, Springfield, IL 62704-7452

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